Individual
KARL ERIC ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
871 PRENTICE STREET, GRANITE FALLS, MN 56241
(320) 564-2278
Mailing address
871 PRENTICE STREET, GRANITE FALLS, MN 56241
(320) 564-2278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9936
MN
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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