Individual
DR. LARRY MICHAEL OVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD,MSD
Contact information
Practice address
911 COUNTRY CLUB RD., STE 240, EUGENE, OR 97401
(541) 687-1499
(541) 338-0255
Mailing address
2340 LAKEVIEW DR, EUGENE, OR 97408-4501
(541) 687-7860
(541) 338-0255
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6294
OR
Other
Enumeration date
03/24/2006
Last updated
07/09/2007
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