Individual
DR. JEFFREY HILDOR ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6701 W UNION HILLS DR, GLENDALE, AZ 85308
(602) 843-0100
(602) 843-5554
Mailing address
3201 W WALTER WAY, PHOENIX, AZ 85027-1079
(319) 331-3337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08719
IA
122300000X
Dentist
10370
CO
1223G0001X
General Practice Dentistry
Primary
D010080
AZ
Other
Enumeration date
07/02/2010
Last updated
03/05/2019
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