IAN MATTHEW ERICKSON

GRANTS PASS, OR
NPI1528216256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D9158)
Enumeration Date2008-09-06
Last Update Date2008-09-06
Business Address
Dr. IAN MATTHEW ERICKSON DMD
1224 NE 7TH ST
GRANTS PASS, OR 97526-1424
Phone number: 541-476-3419
Mailing Address
Dr. IAN MATTHEW ERICKSON DMD
80 HASKELL ST APT 3
CENTRAL POINT, OR 97502-2395
Phone number: 971-237-0096