Individual
ERIC ROLAND PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07327
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1095471
—
IA
Enumeration date
10/24/2005
Last updated
10/04/2007
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