| NPI | 1730339441 |
|---|---|
| Doing Business As | ERICKSON DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON W ERICKSON Officer 972-717-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22975) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |