Organization
DILLON MVFD, PLLC
Active
Other names
Mountain View Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H. ERICKSON D.D.S. (OWNER/DENTIST)
(970) 262-2002
Entity
Organization
Contact information
Practice address
330 DILLON RIDGE WAY, #3, DILLON, CO 80435
(970) 262-2002
Mailing address
330 DILLON RIDGE WAY #3, PO BOX 4876, DILLON, CO 80435
(970) 262-2002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10370
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
865894.00-4
UI ACCOUNT NUMBER
CO
Enumeration date
07/08/2016
Last updated
07/08/2016
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