Individual
DR. JENNIFER ANNE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1110 SE 8TH ST BLDG 200, OCALA, FL 34471-4045
(352) 351-3894
Mailing address
710 LAKE DIAMOND AVE, OCALA, FL 34472-5014
(352) 687-0384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18061
FL
Other
Enumeration date
07/11/2007
Last updated
08/09/2007
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