Individual
DR. IAN JAMES LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23 S WASHINGTON AVE STE 1A, MARGATE CITY, NJ 08402-2303
(609) 822-0911
Mailing address
23 S WASHINGTON AVE STE 1A, MARGATE CITY, NJ 08402-2303
(609) 822-0911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02851100
NJ
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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