Individual
DR. JAMES EDWARD LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1829 GUNBARREL RD, SUITE A-1, CHATTANOOGA, TN 37421-7184
(423) 296-0407
(423) 296-0174
Mailing address
1829 GUNBARREL RD, SUITE A-1, CHATTANOOGA, TN 37421-7184
(423) 296-0407
(423) 296-0174
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS0000004503
TN
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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