Individual
LAUREN JESSICA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
828 W HURON ST, ANN ARBOR, MI 48103-4214
(734) 994-0909
(734) 994-0910
Mailing address
828 W HURON ST, ANN ARBOR, MI 48103-4214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600124
MI
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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