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Individual

DR. NATASHA A LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
37 MAPLEWOOD AVE, 2ND FLOOR, WEST HARTFORD, CT 06119-1630
(617) 913-8620

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
010067
CT
122300000X
Dentist
Primary
055413
NY
1223P0221X
Pediatric Dentistry
055413
NY

Other

Enumeration date
07/02/2009
Last updated
03/18/2011
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