Individual
CHERYL LYNN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
294 NELSON RD, LUDINGTON, MI 49431-1942
(231) 843-4255
(231) 843-3040
Mailing address
5551 N OTTER RIDGE DR, LUDINGTON, MI 49431-9671
(231) 843-4255
(231) 843-3040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012204
MI
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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