Search › Illinois › 122300000X
David Larson, DMD
NPI 1174691752 · on the registry since 2006
Practice
- Address
- 6415 Forest Hills Road
Rockford, IL 61114 - Phone
- (815) 654-9552
- Fax
- (915) 654-7521
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois