DR. John W Larson, DMD
NPI #1427125467 in Springfield, Oregon
Provider Information
- NPI Number
- 1427125467
- Entity Type
- Individual
- Name
- DR. John W Larson, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1290 W CENTENNIAL BLVD
- Address 2
- SUITE 1
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97477-3566
- Phone
- (541) 741-0602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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