Individual
CHRISTI ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
237 W HICKORY ST, LANCASTER, WI 53813-1457
(608) 723-2141
Mailing address
237 W HICKORY ST, LANCASTER, WI 53813-1457
(608) 723-2141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
08749
IA
1223G0001X
General Practice Dentistry
Primary
6567-15
WI
Other
Enumeration date
07/19/2010
Last updated
05/02/2018
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