Kelton Ericson, D.M.D. is a student in an organized health care education training program in Phoenix, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kelton Ericson, D.M.D. NPI is 1972981025. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1441 N 12TH ST
3RD FLOOR
PHOENIX, AZ
ZIP 85006-837
Phone: (602) 521-5150
Fax: (602) 521-5151
The enumeration date for this NPI number is 5/8/2015 and was last updated on 11/16/2016.