Individual
DR. IAN MATTHEW ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1224 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 476-3419
Mailing address
80 HASKELL ST APT 3, CENTRAL POINT, OR 97502-2395
(971) 237-0096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9158
OR
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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