Bruce Erickson, D.d.s., Pc | |
401 W Rainbow Blvd Salida CO 81201-2235 | |
(719) 539-7655 | |
(719) 539-8693 |
Full Name | Bruce Erickson, D.d.s., Pc |
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Speciality | Dentist - General Practice |
Location | 401 W Rainbow Blvd, Salida, Colorado |
Authorized Official Name and Position | Bruce Matthew Erickson (PRESIDENT AND OWNER) |
Authorized Official Contact | 7195397655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bruce Erickson, D.d.s., Pc 401 W Rainbow Blvd Salida CO 81201-2235 Ph: (719) 539-7655 | Bruce Erickson, D.d.s., Pc 401 W Rainbow Blvd Salida CO 81201-2235 Ph: (719) 539-7655 |
NPI Number | 1316155369 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316155369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8677 (Colorado) | Primary |
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