NPI | 1487181723 |
---|---|
Doing Business As | ERICKSON'S EXTRACTION AND DENTURE CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT E ERICKSON Owner 207-992-2060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME 3214) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2022-07-21 |