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Teddy Erickson
NPI 1043338155 · on the registry since 2007
Practice
- Address
- 1575 20th Street Northwest
Suite 102
Faribault, MN 55021 - Phone
- (507) 334-6433
- Fax
- (507) 334-0044
- Organisation at this address
- Southern Heights Dental Group Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota