Organization
EARL R. LARSON, D.D.S., P.C.
Active
Other names
Wildhorse Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL ROBERT LARSON DDS (PRESIDENT)
(636) 537-0447
Entity
Organization
Contact information
Practice address
150 LONG ROAD STE 100, CHESTERFIELD, MO 63005
(636) 537-0447
(636) 537-9452
Mailing address
150 LONG ROAD STE 100, CHESTERFIELD, MO 63005
(636) 537-0447
(636) 537-9452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13769
MO
Other
Enumeration date
01/22/2010
Last updated
01/24/2018
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