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Individual
THOMAS J LARKIN III
Active
Individual
THOMAS J LARKIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019-022104
—
IL
Enumeration date
10/26/2005
Last updated
04/25/2016
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