Individual
DR. ANN J LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
10350 BANDERA RD STE 122, SAN ANTONIO, TX 78250-5616
(210) 256-9767
Mailing address
10350 BANDERA RD STE 122, SAN ANTONIO, TX 78250-5616
(210) 256-9767
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14947
TX
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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