Individual
DR. EARL R LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4800 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34211-4953
(941) 962-6303
Mailing address
4800 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34211-4953
(941) 962-6303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
013769
MO
122300000X
Dentist
Primary
DTP813
FL
Other
Enumeration date
07/21/2006
Last updated
07/02/2024
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