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Lara Larson, DDS
NPI 1346237864 · on the registry since 2005
Practice
- Address
- 96th Dental Squadron
307 Boatner Avenue
Eglin Afb, FL 32542 - Phone
- (850) 883-8052
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-12
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 Florida