Eric Larson

NPI #1649696857 in Kingston, Tennessee

Provider Information

NPI Number
1649696857
Entity Type
Individual
Name
Eric Larson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 12, 2014
Last Updated
Apr 7, 2022

Practice Location

Address
1011 WATERFORD PL
ZIP Code
37763-2686
Phone
(865) 376-9687

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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