Organization
KELTON ERICSON DMD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELTON ERICSON DMD MD (OWNER/DOCTOR)
(602) 758-9009
Entity
Organization
Contact information
Practice address
8043 N 10TH ST, PHOENIX, AZ 85020-3770
(602) 758-9009
Mailing address
8043 N 10TH ST, PHOENIX, AZ 85020-3770
(602) 758-9009
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/13/2024
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