Organization
BROOKS M LARSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKS M LARSON D.D.S. (PRESIDENT/OWNER)
(714) 256-9332
Entity
Organization
Contact information
Practice address
235 S FLOWER AVE, BREA, CA 92821-4945
(714) 256-9332
(714) 256-9330
Mailing address
235 S FLOWER AVE, BREA, CA 92821-4945
(714) 256-9332
(714) 256-9330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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