Organization
HOLLADAY DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ERICKSEN DDS (OWNER)
(801) 277-9213
Entity
Organization
Contact information
Practice address
4888 S HIGHLAND DR, HOLLADAY, UT 84117-6007
(801) 277-9213
(385) 770-7196
Mailing address
4888 S HIGHLAND DR, HOLLADAY, UT 84117-6007
(801) 277-9213
(385) 770-7196
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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