Individual
DR. LOUIS A ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
777 N 500 W, SUITE 201 B, PROVO, UT 84601-1541
(801) 374-5100
(801) 375-2464
Mailing address
777 N 500 W, SUITE 201 B, PROVO, UT 84601-1541
(801) 374-5100
(801) 375-2464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
136096
UT
Other
Enumeration date
11/25/2006
Last updated
07/08/2007
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