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Individual

JUSTIN ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4001 LAKE OTIS PKWY, #200, ANCHORAGE, AK 99508-5200
(907) 222-0400
Mailing address
4001 LAKE OTIS PKWY, #200, ANCHORAGE, AK 99508-5200
(907) 222-0400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110578
AK
122300000X
Dentist
60653265
WA

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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