CHAD WAYNE ERICKSON

FORT LEE, VA
NPI1528335973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401413421)
Enumeration Date2011-11-29
Last Update Date2014-03-25
Business Address
-- CHAD WAYNE ERICKSON DDS
2601 C AVE
FORT LEE, VA 23801-1717
Phone number: 435-764-5125
Mailing Address
-- CHAD WAYNE ERICKSON DDS
577 STERNBERG AVE
FORT EUSTIS, VA 23604-1526
Phone number: 435-764-5125
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