Individual
DR. NANCY YVONNE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10562 N PORT WASHINGTON RD, MEQUON, WI 53092-5537
(262) 240-1220
(262) 240-1232
Mailing address
10562 N PORT WASHINGTON RD, MEQUON, WI 53092-5537
(262) 240-1220
(262) 240-1232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3861
WI
Other
Enumeration date
01/30/2007
Last updated
04/09/2008
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