# CHERYL LARSON, D.D.S. & ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568072213
- **Authorized official:** DR. CHERYL LARSON DDS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (231) 843-4255

## Contact information

- **Practice address:** 294 NELSON RD, LUDINGTON, MI 49431-1942
- **Practice address phone:** (231) 843-4255
- **Practice address fax:** (231) 425-3628
- **Mailing address:** 294 NELSON RD, LUDINGTON, MI 49431-1942
- **Mailing address phone:** (231) 843-4255
- **Mailing address fax:** (231) 425-3628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 08/07/2020