Individual
BONNIE JEAN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
(360) 571-3149
Mailing address
19019 NE 118TH AVE, BATTLE GROUND, WA 98604-9227
(360) 687-2340
(360) 687-1597
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002272
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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