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Individual

ERICK F CARLGREN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2 CALLE MEDICO, SUITE 3, SANTA FE, NM 87505-4785
(505) 982-4592
(505) 982-1612
Mailing address
2 CALLE MEDICO, SUITE 3, SANTA FE, NM 87505-4785
(505) 982-4592
(505) 982-1612

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1429
NM

Other

Enumeration date
04/05/2006
Last updated
07/08/2007
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