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Individual

DR. KOLTON KEVIN ERICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5818 NW 50TH ST STE 100, OKLAHOMA CITY, OK 73122-5121
(405) 227-0054
Mailing address
908 NW 185TH ST, EDMOND, OK 73012-1227
(435) 279-3332

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10313
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1329
WY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6912
OK

Other

Enumeration date
10/15/2010
Last updated
07/21/2022
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