Search › California › Oral and Maxillofacial Surgery (Dentist)
Mark Ericson, DDS
NPI 1952374761 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1320 Apple Ave Ste 104
Hayward, CA 94541 - Phone
- (360) 870-9097
- Fax
- (510) 582-8147
- Organisation at this address
- Jocelyn Riel Dmd
James S Mossop Dds IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist) - Licence states on file
- NJ, TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-04
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 California