Individual
DR. ROBERT A LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
412 S 13TH ST, SUNNYSIDE, WA 98944-1571
(509) 837-4213
(509) 839-5305
Mailing address
PO BOX 270, SUNNYSIDE, WA 98944-0270
(509) 837-4213
(509) 839-5305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006999
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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