Individual
DR. CHARLES DAVID LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
BELLEVUE HOSPITAL CENTER 2 WEST 33, FIRST AVENUE AND 27TH ST., NEW YORK, NY 10016
(917) 837-4385
Mailing address
210 W 78TH ST APT 6C, NEW YORK, NY 10024-6619
(917) 837-4385
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
050612
NY
Other
Enumeration date
01/04/2007
Last updated
04/24/2012
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