DR. STACY LARSEN, DDS
Dentist - General Practice
Active
Individual
NPI: 1336126697
Practice Address
DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP2817 REILLY RD, MCDS-NA-B
Fort Bragg, NC 28310
Phone: (910) 396-5610
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 6283 (NE) |
Frequently Asked Questions
NPI 1336126697 is the National Provider Identifier for DR. STACY LARSEN, DDS, a Dentist - General Practice provider located in Fort Bragg, NC. This NPI was enumerated on December 28, 2005.
DR. STACY LARSEN, DDS practices at DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP, 2817 REILLY RD, MCDS-NA-B, Fort Bragg, NC 28310.
Quick Facts
- NPI
- 1336126697
- Type
- Individual
- Enumerated
- Dec 28, 2005
- Last Updated
- Jun 13, 2008
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