Organization
BRYANT & LARSON. A PROFESSIONAL DENTAL CORPORATION
Active
Parent organization
LARSON ORTHODONTICS
Other names
Larson Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LARSON ORTHODONTICS
Authorized official
DR. MARC R LARSON DDS (OWNER/PROVIDER)
(951) 686-6410
Entity
Organization
Contact information
Practice address
6886 INDIANA AVE STE A, RIVERSIDE, CA 92506-4218
(951) 686-6410
Mailing address
6886 INDIANA AVE STE A, RIVERSIDE, CA 92506-4218
(951) 686-6410
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
09/19/2022
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