Organization
THOMAS E ERICKSEN, DDS, LLC
Active
Other names
Kaysville Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ERICKSEN DDS (DENTIST/OWNER)
(801) 540-6377
Entity
Organization
Contact information
Practice address
690 N MAIN ST, KAYSVILLE, UT 84037-3132
(801) 719-6621
Mailing address
2325 W 525 S, LAYTON, UT 84041-5534
(801) 540-6377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5796632-9922
UT
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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