Individual
DR. DAVID RYAN ERICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1010 E UNIVERSITY DR, MESA, AZ 85203
(480) 644-7777
Mailing address
1832 E YALE DR, TEMPE, AZ 85283
(909) 435-1545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7882
AZ
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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