DR. Andrew Michael Larson, D.M.D.

NPI #1356533905 in Scott Afb, Illinois

Provider Information

NPI Number
1356533905
Entity Type
Individual
Name
DR. Andrew Michael Larson, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Aug 16, 2007
Last Updated
Aug 16, 2007

Practice Location

Address
310 W LOSEY ST
ZIP Code
62225-5250
Phone
(618) 256-6667

Specialties & Taxonomy Codes

Specialty
Dentist

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