Individual
DR. CAROLYN PETERS LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2322 E KIMBERLY RD, SUITE 200W, DAVENPORT, IA 52807-7205
(563) 355-4544
(563) 355-5210
Mailing address
4140 APPLE VALLEY DR, BETTENDORF, IA 52722-2172
(563) 355-4544
(563) 355-5210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7197
IA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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