Individual
DR. JAKE ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5611 119TH AVE SE STE 2, BELLEVUE, WA 98006-3799
(425) 746-6554
Mailing address
1800 EASTLAKE AVE E APT 301, SEATTLE, WA 98102-3787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61166100
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2021
Last updated
07/08/2021
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