ROBERT L LARISON

SPRINGFIELD, IL
NPI1720205115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019-019019)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
-- ROBERT L LARISON D.D.S.
1214 S 4TH ST
SPRINGFIELD, IL 62703-2229
Phone number: 217-528-1502
Mailing Address
-- ROBERT L LARISON D.D.S.
1214 S 4TH ST
SPRINGFIELD, IL 62703-2229
Phone number: 217-528-1502
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