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Organization

RISE ORTHODONTIC STUDIO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHLEY ELIZABETH LARSON DMD (ORTHODONTIST)
(847) 533-1349
Entity
Organization

Contact information

Practice address
3119 VALLEY AVE STE 110, WINCHESTER, VA 22601-2665
(847) 533-1349
Mailing address
102 W PALL MALL ST, WINCHESTER, VA 22601-4067
(847) 533-1349

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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