Provider Demographics
NPI:1467575761
Name:ERASO, FRANCISCO EDUARDO (DDS, MS,MSD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:EDUARDO
Last Name:ERASO
Suffix:
Gender:M
Credentials:DDS, MS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 N MERIDIAN ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5381
Mailing Address - Country:US
Mailing Address - Phone:317-663-8251
Mailing Address - Fax:317-663-8256
Practice Address - Street 1:9002 N MERIDIAN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5381
Practice Address - Country:US
Practice Address - Phone:317-663-8251
Practice Address - Fax:317-663-8256
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21056122300000X
IN120109678122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist