Individual
DR. BERNARD JOHN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2100 E SECTION ST STE 102, MOUNT VERNON, WA 98274-9132
(360) 428-3565
(360) 428-3593
Mailing address
2100 E SECTION ST STE 102, MOUNT VERNON, WA 98274-9132
(360) 428-3565
(360) 428-3593
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7195
WA
Other
Enumeration date
10/03/2006
Last updated
05/21/2013
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