Individual
DR. ERICKA ANN SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3524 LAKEVIEW PARKWAY, ROWLETT, TX 75088
(972) 463-3242
Mailing address
3524 LAKEVIEW PARKWAY, ROWLETT, TX 75088
(972) 463-3242
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19408
TX
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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