Individual
DR. DANA W. ERICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3554 CHAIN BRIDGE RD, SUITE 401, FAIRFAX, VA 22030-2709
(703) 385-3226
(703) 385-1472
Mailing address
3554 CHAIN BRIDGE RD, SUITE 401, FAIRFAX, VA 22030-2709
(703) 385-3226
(703) 385-1472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006318
VA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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