Organization
ERICKSON FAMILY DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T. ERICKSON D.D.S. (DENTIST/OWNER)
(218) 281-4323
Entity
Organization
Contact information
Practice address
1726 UNIVERSITY AVE, CROOKSTON, MN 56716-1112
(218) 281-4323
Mailing address
1726 UNIVERSITY AVE, CROOKSTON, MN 56716-1112
(218) 281-4323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10020
MN
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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