Individual
CAROLINE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2700 NE 14TH STREET CSWY STE 105, POMPANO BEACH, FL 33062-3561
(954) 941-2412
Mailing address
5811 TOSCANA DR APT 1537, DAVIE, FL 33314-3588
(239) 887-0382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22800
FL
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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