| NPI | 1245965797 |
|---|---|
| Doing Business As | LARSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARC R LARSON Owner/Provider 951-686-6410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-09-19 |