DR. DOUGLAS LARSON, D.D.S.
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1366432098
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 049 677 (NY) |
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 049 677 (NY) |
Frequently Asked Questions
NPI 1366432098 is the National Provider Identifier for DR. DOUGLAS LARSON, D.D.S., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Jamestown, NY. This NPI was enumerated on October 25, 2005.
DR. DOUGLAS LARSON, D.D.S. practices at 680 FAIRMOUNT AVE, Jamestown, NY 14701.
Quick Facts
- NPI
- 1366432098
- Type
- Individual
- Enumerated
- Oct 25, 2005
- Last Updated
- May 12, 2014
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