| NPI | 1992063176 |
|---|---|
| Doing Business As | ERICKSON PEDIATRIC DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DAWN RUSH Business Manager 719-282-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9665) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 9665) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2022-06-30 |