B. J. Larson, D.d.s., P. S.
NPI #1215373931 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1215373931
- Entity Type
- Organization
- Organization Name
- B. J. Larson, D.d.s., P. S.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 21, 2013
- Last Updated
- May 21, 2013
Practice Location
- Address
- 2100 E SECTION ST STE 102
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98274-9132
- Phone
- (360) 428-3565
Authorized Official
- Name
- DR. BERNARD JOHN LARSON, D.D.S.
- Title
- PRESIDENT
- Phone
- (360) 428-3565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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