Organization
ROBERT E. ERICKSON, DMD, PLLC
Active
Other names
Erickson's Extraction and Denture Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E ERICKSON DMD (OWNER)
(207) 992-2060
Entity
Organization
Contact information
Practice address
12 STILLWATER AVE STE 6, BANGOR, ME 04401-3984
(207) 992-2060
(207) 262-0424
Mailing address
12 STILLWATER AVE STE 6, BANGOR, ME 04401-3984
(207) 992-2060
(207) 262-0424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3214
ME
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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