Individual
CHRISTINE A ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
800 PRAIRIE CENTER DR, SUITE 250, EDEN PRAIRIE, MN 55344-7328
(952) 974-5116
Mailing address
4615 URBANDALE LN N, PLYMOUTH, MN 55446-1916
(763) 257-7679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12918
MN
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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