DR. Douglas Keith Larson, D.D.S.

NPI #1750444758 in Campbell, California

Provider Information

NPI Number: 1750444758
Entity Type: Individual
Name: DR. Douglas Keith Larson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 42 W CAMPBELL AVE STE 204
City: Campbell
State: California
ZIP Code: 95008-1042
Phone: (408) 374-6160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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