| Larson Orthodontic Specialists | |
|
431 E Clairemont Ave Suite B Eau Claire WI 54701-3685 | |
| (715) 514-3333 | |
| (888) 837-7347 |
| Full Name | Larson Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 431 E Clairemont Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Matthew Evans Larson (OWNER) |
| Authorized Official Contact | 6513669754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larson Orthodontic Specialists 431 E Clairemont Ave Suite B Eau Claire WI 54701-3685 Ph: (715) 514-3333 | Larson Orthodontic Specialists 431 E Clairemont Ave Suite B Eau Claire WI 54701-3685 Ph: (715) 514-3333 |
| NPI Number | 1851667364 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851667364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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