Mr. Dylen Adair Larsen, ABOC
Mr. Dylen Adair Larsen, ABOC is an Optician in Belvidere, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
521 S St Ste 1Belvidere, IL 61008
Phone: (815) 520-1303
Fax: (815) 975-9327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X (IL) |
|---|
Record details
| NPI number | 1023379773 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ABOC |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2012 |
| Last updated in NPPES | May 30, 2012 |
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