Individual
DR. DAVID DARRELL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6415 FOREST HILLS ROAD, ROCKFORD, IL 61114
(815) 654-9552
(915) 654-7521
Mailing address
6415 FOREST HILLS ROAD, ROCKFORD, IL 61114
(815) 654-9552
(915) 654-7521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01916418
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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