Individual
CHRISTOPHER C LARSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3637 AVENUE OF THE CITIES, STE 302, MOLINE, IL 61265-4453
(309) 757-1065
(309) 757-1068
Mailing address
3637 AVENUE OF THE CITIES, STE 302, MOLINE, IL 61265-4453
(309) 757-1065
(309) 757-1068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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