Donald F Larson ORTHODONTIST

NPI 1083617435 - Dentist - 1223X0400X

NPI Details
NPI 1083617435
Gender Male
Enumeration Date 05/31/2005
Last Updated 02/29/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
814 N SAINT ASAPH ST
FL 2
ALEXANDRIA VA, 22314-1718, US
Phone (703) 838-8998
Fax (703) 838-2714
Business Location
814 N SAINT ASAPH ST
FL 2
ALEXANDRIA VA, 22314-1718, US
Phone (703) 838-8998
Fax (703) 838-2714
Toxanomy
Taxonomy Code 1223X0400X
License State Virginia
License Number 0401008896
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According to our database, Dr. Donald F Larson ORTHODONTIST NPI is 1083617435, taxonomy code is 1223X0400X and license number is 0401008896, license state is located at Virginia. Donald F Larson ORTHODONTIST physically located at 814 N Saint Asaph St, Alexandria VA, 22314-1718. NPI Number Donald F Larson ORTHODONTIST has the Individual type.

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1083617435 NPI number is provided on an as is basis without warranty of any kind. 1083617435 is maintained by the National Plan & Provider Enumeration System. The contents of Donald F Larson ORTHODONTIST are for informational purposes only.