Jeremy Larson, DMD

NPI #1770861791 in Boardman, Oregon

Provider Information

NPI Number
1770861791
Entity Type
Individual
Name
Jeremy Larson, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jul 25, 2011
Last Updated
Jan 27, 2015

Practice Location

Address
300 TATONE
State
Oregon
ZIP Code
97818
Phone
(888) 468-0022

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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