Laura Lee Larson R.D.H.

NPI 1154509677 - Dental Laboratory Technician - 126900000X

NPI Details
NPI 1154509677
Gender Female
Enumeration Date 02/06/2008
Last Updated 02/06/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
27201 HIGHWAY 189
BLUE JAY CA, 92317, US
Phone (909) 337-6670
Business Location
PO BOX 898
Phone (909) 867-1145
Taxonomy Code 126900000X
License State California
License Number 16999
Remove 1154509677 NPI Number

According to our database, Ms. Laura Lee Larson R.D.H. NPI is 1154509677, taxonomy code is 126900000X and license number is 16999, license state is located at California. Laura Lee Larson R.D.H. physically located at 27201 Highway 189, Blue Jay CA, 92317. NPI Number Laura Lee Larson R.D.H. has the Individual type.

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1154509677 NPI number is provided on an as is basis without warranty of any kind. 1154509677 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Lee Larson R.D.H. are for informational purposes only.