# 99 BRACES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194164392
- **Authorized official:** JEFFREY ERICKSON (DMD)
- **Authorized official phone:** (915) 858-6868

## Contact information

- **Practice address:** 9411 ALAMEDA AVE, STE P, EL PASO, TX 79907-5640
- **Practice address phone:** (915) 858-6868
- **Mailing address:** 9411 ALAMEDA AVE, STE P, EL PASO, TX 79907-5640
- **Mailing address phone:** (915) 858-6868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24362 | TX | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013