Individual
JOSEPH ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 EAGLES POINTE PKWY STE 220, STOCKBRIDGE, GA 30281-6379
(770) 474-7177
Mailing address
125 EAGLES POINTE PKWY STE 220, STOCKBRIDGE, GA 30281-6379
(770) 474-7177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022285
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN122837
GA
Other
Enumeration date
06/14/2017
Last updated
07/24/2024
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