JEREMY LARSON, DMD
Dentist - General Practice
Active
Individual
NPI: 1770861791
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D9625 (OR) |
Frequently Asked Questions
NPI 1770861791 is the National Provider Identifier for JEREMY LARSON, DMD, a Dentist - General Practice provider located in Boardman, OR. This NPI was enumerated on July 25, 2011.
JEREMY LARSON, DMD practices at 300 TATONE, Boardman, OR 97818.
Quick Facts
- NPI
- 1770861791
- Type
- Individual
- Enumerated
- Jul 25, 2011
- Last Updated
- Jan 27, 2015
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