Individual provider · Type 1 NPI
Lara Inga Larson, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Eglin Afb, FL
Practice location
96th Dental Squadron, 307 Boatner Avenue
Eglin Afb, FL 32542
Mailing address
207 Gracie Lane
Niceville, FL 32578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 5846 (NE) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Other orthodontics and dentofacial orthopedics dentistry providers in Eglin Afb
About NPI 1346237864
Lara Inga Larson, DDS's National Provider Identifier is 1346237864, issued on Sep 30, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Eglin Afb, FL. The record was last updated on Aug 12, 2011.