Individual
DR. RICHARD H. ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3823 ROSWELL RD, SUITE 104, MARIETTA, GA 30062-6278
(770) 973-0496
(770) 973-0496
Mailing address
4338 HIGHBORNE DR NE, MARIETTA, GA 30066-2429
(770) 973-0496
(770) 973-4638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008854
GA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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