Individual
DR. IAN JAMES LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
616 CAMPUS DR, ABINGDON, VA 24210-9706
(276) 525-4487
Mailing address
1108 RADLEY DR, WEST CHESTER, PA 19382-8074
(610) 357-3606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418501
VA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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