DR. Ian James Larson, DMD

NPI #1164198842 in Margate City, New Jersey

Provider Information

NPI Number: 1164198842
Entity Type: Individual
Name: DR. Ian James Larson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 21, 2021
Last Updated: Aug 21, 2021

Practice Location

Address: 23 S WASHINGTON AVE STE 1A
City: Margate City
State: New Jersey
ZIP Code: 08402-2303
Phone: (609) 822-0911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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