Individual
MR. CHRIS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12777 VALLEY VIEW ST, #121, GARDEN GROVE, CA 92845
(714) 897-3543
(714) 897-0505
Mailing address
12777 VALLEY VIEW ST, #121, GARDEN GROVE, CA 92845
(714) 897-3543
(714) 897-0505
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
31051
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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