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Organization

99 BRACES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY ERICKSON (DMD)
(915) 858-6868
Entity
Organization

Contact information

Practice address
9411 ALAMEDA AVE, STE P, EL PASO, TX 79907-5640
(915) 858-6868
Mailing address
9411 ALAMEDA AVE, STE P, EL PASO, TX 79907-5640
(915) 858-6868

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24362
TX

Other

Enumeration date
06/20/2013
Last updated
06/20/2013
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