Individual
DR. ANDREW G ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2160 E 4500 S STE 3, SAME, HOLLADAY, UT 84117-4499
(801) 277-9213
Mailing address
4543 S SUNCREST DR, HOLLADAY, UT 84117-4316
(801) 633-3183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
79993339922
UT
Other
Enumeration date
12/01/2011
Last updated
07/28/2016
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