| B. J. Larson, D.D.S., P. S. | |
|
2100 E Section St Ste 102 Mount Vernon WA 98274-9132 | |
| (360) 428-3565 | |
| (360) 428-3593 |
| Full Name | B. J. Larson, D.D.S., P. S. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2100 E Section St Ste 102, Mount Vernon, Washington |
| Authorized Official Name and Position | Bernard John Larson (PRESIDENT) |
| Authorized Official Contact | 3604283565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B. J. Larson, D.D.S., P. S. 2100 E Section St Ste 102 Mount Vernon WA 98274-9132 Ph: (360) 428-3565 | B. J. Larson, D.D.S., P. S. 2100 E Section St Ste 102 Mount Vernon WA 98274-9132 Ph: (360) 428-3565 |
| NPI Number | 1215373931 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215373931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7195 (Washington) | Primary |
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