DR. LARA LARSON, DDS

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1346237864

Practice Address

96TH DENTAL SQUADRON
307 BOATNER AVENUE
Eglin Afb, FL 32542

Phone: (850) 883-8052

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes 5846 (NE)

Frequently Asked Questions

NPI 1346237864 is the National Provider Identifier for DR. LARA LARSON, DDS, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Eglin Afb, FL. This NPI was enumerated on September 30, 2005.
DR. LARA LARSON, DDS practices at 96TH DENTAL SQUADRON, 307 BOATNER AVENUE, Eglin Afb, FL 32542.

Quick Facts

NPI
1346237864
Type
Individual
Enumerated
Sep 30, 2005
Last Updated
Aug 12, 2011

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