Individual
MARK ANTHONY LARJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 S MARKET ST, WOOSTER, OH 44691
(330) 264-9271
(330) 264-2749
Mailing address
325 S MARKET ST, WOOSTER, OH 44691
(330) 264-9271
(330) 264-2749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20071
OH
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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