Organization
ERIKS DENTAL, PC
Active
Parent organization
ERIKS DENTAL, PC
Other names
Lebanon Dentures and Implants
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIKS DENTAL, PC
Authorized official
DR. DOUGLAS A ERIKS DDS (OWNER)
(765) 659-4977
Entity
Organization
Contact information
Practice address
1338 S LEBANON ST STE 100, LEBANON, IN 46052-2792
(765) 659-4977
Mailing address
1338 S LEBANON ST STE 100, LEBANON, IN 46052-2792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010984A
IN
Other
Enumeration date
06/11/2014
Last updated
06/13/2014
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