Chad Wayne Erickson DDS

NPI 1528335973 - Dentist - 1223G0001X

NPI Details
NPI 1528335973
Gender Male
Enumeration Date 11/29/2011
Last Updated 03/25/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
2601 C AVE
FORT LEE VA, 23801-1717, US
Phone (435) 764-5125
Fax
Business Location
577 STERNBERG AVE
FORT EUSTIS VA, 23604-1526, US
Phone (435) 764-5125
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401413421
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According to our database, Chad Wayne Erickson DDS NPI is 1528335973, taxonomy code is 1223G0001X and license number is 0401413421, license state is located at Virginia. Chad Wayne Erickson DDS physically located at 2601 C Ave, Fort Lee VA, 23801-1717. NPI Number Chad Wayne Erickson DDS has the Individual type.

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1528335973 NPI number is provided on an as is basis without warranty of any kind. 1528335973 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Wayne Erickson DDS are for informational purposes only.