Organization
LARSON AND ROELOFS FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J LARSON DDS (PRESIDENT)
(804) 323-3944
Entity
Organization
Contact information
Practice address
9327 MIDLOTHIAN TURNPIKE, SUITE 1A, RICHMOND, VA 23235-4965
(804) 323-3944
(804) 323-6007
Mailing address
9327 MIDLOTHIAN TURNPIKE, SUITE 1A, RICHMOND, VA 23235-4965
(804) 323-3944
(804) 323-6007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006445
VA
122300000X
Dentist
0401006446
VA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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