Individual
BRUCE MATTHEW ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
401 W RAINBOW BLVD, SALIDA, CO 81201-2235
(719) 539-7655
(719) 539-8693
Mailing address
401 W RAINBOW BLVD, SALIDA, CO 81201-2235
(719) 539-7655
(719) 539-8693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8677
CO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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