Most Relevant Information
Provider Data
NPI Number: | 1003026972 |
Provider Name: | JOHN BERNARD ERICKSON DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 9729 |
Most Important Dates
Enumeration Date: | 05/22/2007 |
Last Updated: | 06/11/2014 |
Provider Practice Location
206 S. MAIN ST.
VENUS
TX
760843325
Practice Location Phone/Fax
Phone: | 9723663900 |
Fax: | 9723663990 |
Provider Mailing Location
206 S. MAIN ST.
VENUS
TX
760843325
Provider Mailing Phone/Fax
Phone: | 9723663900 |
Fax: | 9723663990 |