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Dr. Mark Scott Ericson, DDS
Oral and Maxillofacial Surgery (Dentist) in Hayward, California
NPI 1952374761

Mark Scott Ericson is a Oral and Maxillofacial Surgery (Dentist) based in Hayward, CA and is specialized in Oral and Maxillofacial Surgery. Mark Scott Ericson practices in Hayward, CA and has the professional credentials of DDS. The NPI Number for Mark Scott Ericson is 1952374761 and holds a License No. 22DI02230300 (California).

The current practice location address for Mark Scott Ericson is 1320 Apple Ave Ste 104, Hayward, CA and can be reached out via phone at 360-870-9097 and via fax at 510-582-8147.

Location: 1320 Apple Ave Ste 104, Hayward, CA, 94541-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952374761
Provider Name
Mark Scott Ericson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1320 Apple Ave Ste 104, Hayward, CA, 94541-1552
Phone Number
360-870-9097
Fax Number
510-582-8147
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1320 Apple Ave Ste 104
City
Hayward
State
California
Zip
94541-1552
Phone Number
360-870-9097
Fax Number
510-582-8147
person
Provider Business Mailing Address Details
Address
1320 Apple Ave Ste 104
City
Hayward
State
California
Zip
94541-1552
Phone Number
360-870-9097
Fax Number
510-582-8147
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
22DI02230300 (New Jersey)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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