# DR. ERIC T CHILDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538364534
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019603 | MI | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 12/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5192388 | — | MI |
| 05 | — | 5192397 | — | MI |
