DR. Jennifer Sue Larson, DDS

NPI #1629156500 in Boyne City, Michigan

Provider Information

NPI Number: 1629156500
Entity Type: Individual
Name: DR. Jennifer Sue Larson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 1, 2006
Last Updated: Jul 6, 2020

Practice Location

Address: 216 N LAKE ST
City: Boyne City
State: Michigan
ZIP Code: 49712-1210
Phone: (231) 582-4480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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