| Gary A. Larsen, Dds, Inc. | |
|
1275 W Shaw Ave Ste 110 Fresno CA 93711-3710 | |
| (559) 226-6060 | |
| (559) 226-6062 |
| Full Name | Gary A. Larsen, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1275 W Shaw Ave Ste 110, Fresno, California |
| Authorized Official Name and Position | Gary Allyn Larsen (OWNER/DENTIST) |
| Authorized Official Contact | 5592266060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A. Larsen, Dds, Inc. 2812 Morris Ave Clovis CA 93611-3437 Ph: (559) 322-9679 | Gary A. Larsen, Dds, Inc. 1275 W Shaw Ave Ste 110 Fresno CA 93711-3710 Ph: (559) 226-6060 |
| NPI Number | 1720015068 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720015068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41749 (California) | Primary |
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