Robert L Larison, D.D.S.
NPI #1720205115 in Springfield, Illinois
Provider Information
- NPI Number
- 1720205115
- Entity Type
- Individual
- Name
- Robert L Larison, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1214 S 4TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-2229
- Phone
- (217) 528-1502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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