Individual
DR. EDWIN VERNOR LARSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
153 STATE ST, MONTPELIER, VT 05602-3361
(802) 229-4225
(802) 229-9944
Mailing address
153 STATE ST, MONTPELIER, VT 05602-3361
(802) 229-4225
(802) 229-9944
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
016-0001208
VT
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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