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Search › Arizona › 1223S0112X

Kelton Ericson, D.M.D., M.D

NPI 1972981025 · on the registry since 2015

Practice

Address
3382 E Speedway Blvd
Tucson, AZ 85716
Phone
(602) 758-9009
Organisation at this address
Renewed Medical Health
Miramonte Dental Group, Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
390200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-15

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 Arizona