MS. Laura Lee Larson, R.D.H.

NPI #1154509677 in Blue Jay, California

Provider Information

NPI Number: 1154509677
Entity Type: Individual
Name: MS. Laura Lee Larson, R.D.H.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Feb 6, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 27201 HIGHWAY 189
City: Blue Jay
State: California
ZIP Code: 92317
Phone: (909) 337-6670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary
Dental Laboratory Technician	126900000X

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