Organization
BRUCE ERICKSON, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE MATTHEW ERICKSON D.D.S. (PRESIDENT AND OWNER)
(719) 539-7655
Entity
Organization
Contact information
Practice address
401 W RAINBOW BLVD, SALIDA, CO 81201-2235
(719) 539-7655
(719) 539-8693
Mailing address
401 W RAINBOW BLVD, SALIDA, CO 81201-2235
(719) 539-7655
(719) 539-8693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8677
CO
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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