Individual
MICHAEL JOHN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1010 E VISTA WAY, SUITE A & B, VISTA, CA 92084-4607
(760) 940-8811
Mailing address
27684 ELDERBERRY ST, MURRIETA, CA 92562-2541
(951) 698-7604
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
49749
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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