Ruby C Carlson Larson DDS

NPI 1043435530 - Dentist - 122300000X

NPI Details
NPI 1043435530
Gender Female
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9750 STATE HWY 281
STE J
KELSEYVILLE CA, 95451-9636, US
Phone (707) 277-9100
Fax
Business Location
9750 STATE HWY 281
STE J
KELSEYVILLE CA, 95451-9636, US
Phone (707) 277-9100
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 39606
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According to our database, Dr. Ruby C Carlson Larson DDS NPI is 1043435530, taxonomy code is 122300000X and license number is 39606, license state is located at California. Ruby C Carlson Larson DDS physically located at 9750 State Hwy 281, Kelseyville CA, 95451-9636. NPI Number Ruby C Carlson Larson DDS has the Individual type.

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1043435530 NPI number is provided on an as is basis without warranty of any kind. 1043435530 is maintained by the National Plan & Provider Enumeration System. The contents of Ruby C Carlson Larson DDS are for informational purposes only.