Organization
DAVID E ERICKSON DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E ERICKSON DDS (PRESIDENT)
(408) 265-4130
Entity
Organization
Contact information
Practice address
4860 CHERRY AVE STE E, SAN JOSE, CA 95118-3716
(408) 265-8003
Mailing address
4860 CHERRY AVE STE E, SAN JOSE, CA 95118-3716
(408) 265-8003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58320
CA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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