Individual
DR. NICOLE LEE KECK-ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 779-2634
(541) 779-3282
Mailing address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 779-2634
(541) 779-3282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9139
OR
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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