| Erickson/aamodt Orthodontics Pa | |
|
2130 Cliff Rd Suite 220 Eagan MN 55122-2485 | |
| (651) 405-1055 | |
| (651) 405-0727 |
| Full Name | Erickson/aamodt Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2130 Cliff Rd, Eagan, Minnesota |
| Authorized Official Name and Position | Keith Robert Erickson (PRESIDENT) |
| Authorized Official Contact | 6514051055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson/aamodt Orthodontics Pa 2130 Cliff Rd Suite 220 Eagan MN 55122-2485 Ph: (651) 405-1055 | Erickson/aamodt Orthodontics Pa 2130 Cliff Rd Suite 220 Eagan MN 55122-2485 Ph: (651) 405-1055 |
| NPI Number | 1649438268 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649438268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D9558 (Minnesota) | Primary |
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