Individual
DR. LARRY L CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
925 ROBERTA LN, SPARKS, NV 89431-1894
(775) 359-3934
(775) 359-8905
Mailing address
5770 FLORIMONT CT, RENO, NV 89511-5044
(775) 359-3934
(775) 359-8905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
877
NV
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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