Tad A Erickson Dds A Dental Corporation | |
346 Kanan Rd Ste 101 Oak Park CA 91377-1165 | |
(818) 889-2254 | |
(818) 889-0636 |
Full Name | Tad A Erickson Dds A Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 346 Kanan Rd Ste 101, Oak Park, California |
Authorized Official Name and Position | Tad Erickson (DENTIST/OWNER) |
Authorized Official Contact | 8188892254 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tad A Erickson Dds A Dental Corporation 346 Kanan Rd Ste 101 Oak Park CA 91377-1165 Ph: (818) 889-2254 | Tad A Erickson Dds A Dental Corporation 346 Kanan Rd Ste 101 Oak Park CA 91377-1165 Ph: (818) 889-2254 |
NPI Number | 1245799956 |
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Provider Enumeration Date | 03/13/2019 |
Last Update Date | 03/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245799956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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