| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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