Bernard John Larson, D.D.S. Valid NPI
Individual provider · Pediatric Dentistry · Mount Vernon, WA
- NPI
- 1548354319
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- 7195 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-03
- Last updated
- 2013-05-21
Practice location
2100 E Section St Ste 102
Mount Vernon, WA 98274-9132
(360) 428-3565