Individual
DR. BRYCE ALAN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
28377 DAVIS PKWY STE 609, WARRENVILLE, IL 60555
(630) 836-8880
Mailing address
618 S MITCHELL AVE, ARLINGTON HEIGHTS, IL 60005-2516
(847) 508-9490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030251
IL
Other
Enumeration date
07/08/2015
Last updated
09/09/2019
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