Individual
DR. RONALD ROBERT LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1870 AVONDALE AVE, SUITE 5, SACRAMENTO, CA 95825-1388
(916) 484-0000
(916) 487-8644
Mailing address
1870 AVONDALE AVENUE, SUITE 5, SACRAMENTO, CA 95825
(916) 484-0000
(916) 487-8644
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
33487
CA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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