| NPI | 1649674706 |
|---|---|
| Doing Business As | SKY RIDGE PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | GRAIG ERICKSON Periodontist 425-337-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2014-10-18 |
| Last Update Date | 2014-10-18 |