Individual
DR. ERIC C LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1831 N. ROCK RD. SUITE 101, WICHITA, KS 67206
(316) 652-0000
(316) 652-0278
Mailing address
1831 N ROCK ROAD CT STE 101, WICHITA, KS 67206-1251
(316) 652-0000
(316) 652-0278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60439
KS
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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