Organization
JOHN P. ERIKSMOEN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P ERIKSMOEN D.D.S. (PRESIDENT)
(949) 640-5680
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVE STE 508, NEWPORT BEACH, CA 92660-7706
(949) 640-5680
(949) 760-2587
Mailing address
1441 AVOCADO AVE STE 508, NEWPORT BEACH, CA 92660-7706
(949) 640-5680
(949) 760-2587
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
19340
CA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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