Individual
MICHAEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1215 PLUMAS ST STE 500, YUBA CITY, CA 95991-3453
(530) 674-5047
Mailing address
1215 PLUMAS ST STE 500, YUBA CITY, CA 95991-3453
(530) 674-5047
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
59059
CA
Other
Enumeration date
12/30/2009
Last updated
03/08/2010
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