Individual
DR. BRYAN KENT ERICSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
3400 WEST 16TH STREET, SUITE A, GREELEY, CO 80634-6862
(970) 353-5826
(970) 353-5829
Mailing address
3400 WEST 16TH STREET, SUITE A, GREELEY, CO 80634-6862
(970) 353-5826
(970) 356-5829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3041
CO
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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