DR. Bernard John Larson, D.D.S.

NPI #1548354319 in Mount Vernon, Washington

Provider Information

NPI Number
1548354319
Entity Type
Individual
Name
DR. Bernard John Larson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Oct 3, 2006
Last Updated
May 21, 2013

Practice Location

Address
2100 E SECTION ST STE 102
ZIP Code
98274-9132
Phone
(360) 428-3565

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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