Individual
MR. CARL ROBERT LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1606 BLOUNT AVE, GUNTERSVILLE, AL 35976-1840
(256) 582-5652
(256) 582-5114
Mailing address
1606 BLOUNT AVE, GUNTERSVILLE, AL 35976-1840
(256) 582-5652
(256) 582-5114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5504
AL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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