| Lars Korsmo, D.d.s., Pllc | |
|
2520 N Alder St Tacoma WA 98406-6632 | |
| (253) 759-5414 | |
| Not Available |
| Full Name | Lars Korsmo, D.d.s., Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2520 N Alder St, Tacoma, Washington |
| Authorized Official Name and Position | Lars K.c. Korsmo (DENTIST/OWNER) |
| Authorized Official Contact | 2537595414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lars Korsmo, D.d.s., Pllc 2520 N Alder St Tacoma WA 98406-6632 Ph: (253) 759-5414 | Lars Korsmo, D.d.s., Pllc 2520 N Alder St Tacoma WA 98406-6632 Ph: (253) 759-5414 |
| NPI Number | 1710577416 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710577416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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