Dr Robert L Larison PC
NPI #1447477849 in Springfield, Illinois
Provider Information
- NPI Number
- 1447477849
- Entity Type
- Organization
- Organization Name
- Dr Robert L Larison PC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1214 S 4TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-2229
- Phone
- (217) 528-1502
Authorized Official
- Name
- ROBERT L LARISON, D.D.S.
- Title
- PRESIDENT
- Phone
- (217) 528-1502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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