DR. Ricky Lee Larson, D.D.S.

NPI #1255569927 in Coppell, Texas

Provider Information

NPI Number
1255569927
Entity Type
Individual
Name
DR. Ricky Lee Larson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 1, 2009
Last Updated
Oct 2, 2014

Practice Location

Address
546 E SANDY LAKE RD STE 240
State
Texas
ZIP Code
75019-5790
Phone
(972) 304-0489

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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