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1780053249
ERICKSON DENTAL CARE LLC
GRANTS PASS, OR
NPI
1780053249
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Entity Type
Organization
Authorized Contact
STEN M ERICKSON
Owner
541-476-3419
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D9632)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
ERICKSON DENTAL CARE LLC
1224 NE 7TH ST
GRANTS PASS, OR 97526-1424
Phone number: 541-476-3419
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Mailing Address
ERICKSON DENTAL CARE LLC
1224 NE 7TH ST
GRANTS PASS, OR 97526-1424
Phone number: 541-476-3419
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