Individual
DR. MART D ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1224 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 476-3419
(541) 476-6985
Mailing address
1224 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 476-3419
(541) 476-6985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5491
OR
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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