Individual
DR. JON T ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
202 N PARK ST, FAIRMONT, MN 56031-2824
(507) 238-2812
(507) 235-8914
Mailing address
202 N PARK ST, FAIRMONT, MN 56031-2824
(507) 238-2812
(507) 235-8914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10871
MN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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