Individual
DR. TY ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4855 MILLS CIVIC PKWY STE 201, WEST DES MOINES, IA 50265-5268
(515) 577-4488
Mailing address
4855 MILLS CIVIC PKWY STE 201, WEST DES MOINES, IA 50265-5268
(515) 577-4488
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
07867
IA
Other
Enumeration date
02/26/2007
Last updated
11/25/2015
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