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Individual
DR. LARRY EDWARD VAN DYCK
Active
Individual
DR. LARRY EDWARD VAN DYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3939
AR
122300000X
Dentist
5246
OK
Other
Enumeration date
09/29/2006
Last updated
10/30/2013
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