Individual
DR. TAYLOR PAUL ERICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5974 FASHION POINT DR, SOUTH OGDEN, UT 84403
(801) 475-6121
(801) 475-4797
Mailing address
5974 FASHION POINT DR, SOUTH OGDEN, UT 84403-4699
(801) 475-6121
(801) 475-4797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030302
IL
122300000X
Dentist
Primary
10299296-9922
UT
1223G0001X
General Practice Dentistry
019030302
IL
Other
Enumeration date
07/27/2015
Last updated
06/10/2019
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