Individual
REBECCA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N5241 US HIGHWAY 45, WATERSMEET, MI 49969-5115
(906) 358-4931
Mailing address
13833 LINDBLOM RD, BARAGA, MI 49908-9154
(906) 231-1648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601676
MI
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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