Organization
ERICKSON DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEN M ERICKSON DMD (OWNER)
(541) 476-3419
Entity
Organization
Contact information
Practice address
1224 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 476-3419
(541) 476-6985
Mailing address
1224 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 476-3419
(541) 476-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9632
OR
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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