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Organization

MART D ERICKSON DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY D ERICKSON DDS (PRESIDENT DENTIST)
(541) 476-3419
Entity
Organization

Contact information

Practice address
1224 NE 7TH ST, GRANTS PASS, OR 97526
(541) 476-3419
(541) 476-6985
Mailing address
1224 NE 7TH ST, GRANTS PASS, OR 97526
(541) 476-3419
(541) 476-6985

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5491
OR

Other

Enumeration date
08/22/2005
Last updated
08/22/2020
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