Tyrel Larsen

NPI #1396366381 in Marion, Illinois

Provider Information

NPI Number
1396366381
Entity Type
Individual
Name
Tyrel Larsen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Apr 30, 2020
Last Updated
Nov 15, 2023

Practice Location

Address
3108 W DEYOUNG ST STE A
City
Marion
ZIP Code
62959-5548
Phone
(479) 254-0669

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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