DR. David Darrell Larson, DMD

NPI #1174691752 in Rockford, Illinois

Provider Information

NPI Number: 1174691752
Entity Type: Individual
Name: DR. David Darrell Larson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6415 FOREST HILLS ROAD
City: Rockford
State: Illinois
ZIP Code: 61114
Phone: (815) 654-9552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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