Organization
JASON ERICKSON DDS, PA
Active
Other names
Erickson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON W ERICKSON (OFFICER)
(972) 717-0077
Entity
Organization
Contact information
Practice address
4030 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75038-6429
(972) 717-0077
Mailing address
4030 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75038-6429
(972) 717-0077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22975
TX
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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