Individual
DR. MARK ERICSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 N FEDERAL HWY, SUITE 176, BOCA RATON, FL 33431-5187
(561) 479-4000
Mailing address
4400 N FEDERAL HWY, SUITE 176, BOCA RATON, FL 33431-5187
(561) 470-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0011066
FL
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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