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1174691752
DAVID DARRELL LARSON
ROCKFORD, IL
NPI
1174691752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 01916418)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Dr. DAVID DARRELL LARSON DMD
6415 FOREST HILLS ROAD
ROCKFORD, IL 61114
Phone number: 815-654-9552
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Mailing Address
Dr. DAVID DARRELL LARSON DMD
6415 FOREST HILLS ROAD
ROCKFORD, IL 61114
Phone number: 815-654-9552
Copy
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