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Individual

DR. MARK ARNOLD ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
612 13TH ST S, VIRGINIA, MN 55792-3149
(218) 741-0405
(218) 741-1445
Mailing address
612 13TH ST S, VIRGINIA, MN 55792-3149
(218) 741-0405
(218) 741-1445

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7918
MN

Other

Enumeration date
08/01/2006
Last updated
10/20/2008
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