Individual
DR. JEFFREY J LARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MHS
Contact information
Practice address
2090 CHARLIE HALL BLVD, SUITE 100, CHARLESTON, SC 29414-8200
(843) 766-7131
(843) 766-1839
Mailing address
2090 CHARLIE HALL BLVD, SUITE 100, CHARLESTON, SC 29414-8200
(843) 766-7131
(843) 766-1839
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3171
SC
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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