DR. Ruby C Carlson Larson, DDS
NPI #1043435530 in Kelseyville, California
Provider Information
- NPI Number
- 1043435530
- Entity Type
- Individual
- Name
- DR. Ruby C Carlson Larson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9750 STATE HWY 281
- Address 2
- STE J
- City
- Kelseyville
- State
- California
- ZIP Code
- 95451-9636
- Phone
- (707) 277-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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