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Search › Illinois › Orthodontics and Dentofacial Orthopedics Dentistry

Tyrel Larsen

NPI 1396366381 · on the registry since 2020

Practice

Address
3108 W Deyoung St Ste A
Marion, IL 62959
Phone
(479) 254-0669
Organisation at this address
Kevin Cook Orthodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
PA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-15

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