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Organization

ERICKSON & GILL, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARISSA GILL D.D.S. (CO-OWNER)
(620) 326-5751
Entity
Organization

Contact information

Practice address
122 E LINCOLN AVE, WELLINGTON, KS 67152-3045
(620) 326-5751
(620) 326-7915
Mailing address
122 E LINCOLN AVE, WELLINGTON, KS 67152-3045
(620) 326-5751
(620) 326-7915

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60042
KS

Other

Enumeration date
12/19/2012
Last updated
12/19/2012
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