NPI | 1396430302 |
---|---|
Doing Business As | ERICKSON DENTAL |
Entity Type | Organization |
Authorized Contact | JAY M ERICKSON Sole Member 832-248-8433 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-04-06 |
Last Update Date | 2023-04-06 |