Individual
ROBERT LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3431 MURPHY HWY, BLAIRSVILLE, GA 30512
(706) 865-0357
Mailing address
PO BOX 353, MAYSVILLE, GA 30558-0353
(706) 865-0357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009070
GA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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