LARISSA W HANSON

PORT ORANGE, FL
NPI1013320142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN20640)
Enumeration Date2014-06-05
Last Update Date2014-07-21
Business Address
Dr. LARISSA W HANSON D.M.D.
3777 S RIDGEWOOD AVE
PORT ORANGE, FL 32129-3528
Phone number: 386-760-1200
Mailing Address
Dr. LARISSA W HANSON D.M.D.
2937 S ATLANTIC AVE APT 1805
DAYTONA BEACH SHORES, FL 32118-6048
Phone number: 386-760-1200
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