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1740633171
DAESHA N ERICKSON
FAIRBANKS, AK
NPI
1740633171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 110367)
Additional Taxonomies
122300000X Dentist
(Licence: WA 60652740)
Enumeration Date
2016-07-21
Last Update Date
2022-07-21
Business Address
DAESHA N ERICKSON D.D.S.
503 14TH AVE
FAIRBANKS, AK 99701-6236
Phone number: 907-374-3889
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Mailing Address
DAESHA N ERICKSON D.D.S.
503 14TH AVE
FAIRBANKS, AK 99701-6236
Phone number: 907-374-3889
Copy
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