Whalio Doctors

NPI 1235287277

Brian J Larsson, DMD

Practitioner General Practice Dentistry Brookings, OR

Practice location

Address
414 Alder Street, Brookings, OR 97415
Phone
(541) 469-4013
Fax
(541) 469-9347
Mailing address
PO Box 5600, Brookings, OR 97415-0111

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 5965 (OR)

Registry record

NPI
1235287277
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.