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Dr. Edwin Vernor Larson Jr., D.D.S.

Dentist, Orthodontics and Dentofacial Orthopedics in Montpelier, VT. Individual provider (NPI-1).

NPI number1447435656
StatusActive
Last updated in NPPESJan 7, 2008

Details

NPI
1447435656
Entity type
Individual (NPI-1)
Name
Dr. Edwin Vernor Larson Jr.
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 7, 2008
Last updated
Jan 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics016-0001208VTYes

Practice location

153 State St
Montpelier, VT 05602-3361

Phone 802-229-4225 · Fax 802-229-9944

Mailing address

153 State St
Montpelier, VT 05602-3361

Phone 802-229-4225 · Fax 802-229-9944

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