Individual
DR. LARRY DEAN DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
645 SE KANE STREET, ROSENBURG, OR 97470
(541) 672-1812
Mailing address
645 SE KANE STREET, ROSENBURG, OR 97470
(541) 672-1812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3741
OR
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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