John Paul Eriksmoen DDS

NPI 1073670022 - Dentist - 1223G0001X

NPI Details
NPI 1073670022
Gender Male
Enumeration Date 01/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1441 AVOCADO AVE
SUITE 508
NEWPORT BEACH CA, 92660-7721, US
Phone (949) 640-5680
Fax (949) 715-2313
Business Location
1441 AVOCADO AVE
SUITE 508
NEWPORT BEACH CA, 92660-7721, US
Phone (949) 640-5680
Fax (949) 715-2313
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 19340
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According to our database, Dr. John Paul Eriksmoen DDS NPI is 1073670022, taxonomy code is 1223G0001X and license number is 19340, license state is located at California. John Paul Eriksmoen DDS physically located at 1441 Avocado Ave, Newport Beach CA, 92660-7721. NPI Number John Paul Eriksmoen DDS has the Individual type.

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1073670022 NPI number is provided on an as is basis without warranty of any kind. 1073670022 is maintained by the National Plan & Provider Enumeration System. The contents of John Paul Eriksmoen DDS are for informational purposes only.