| Paul C Larsen Dmd Pc | |
|
415 Medical Dr Ste D201 Bountiful UT 84010-4946 | |
| (801) 295-8881 | |
| (801) 203-2947 |
| Full Name | Paul C Larsen Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 Medical Dr, Bountiful, Utah |
| Authorized Official Name and Position | Paul Larsen (OWNER) |
| Authorized Official Contact | 8012958881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul C Larsen Dmd Pc 415 Medical Dr Ste D201 Bountiful UT 84010-4946 Ph: (801) 295-8881 | Paul C Larsen Dmd Pc 415 Medical Dr Ste D201 Bountiful UT 84010-4946 Ph: (801) 295-8881 |
| NPI Number | 1942657960 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942657960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5332372-9922 (Utah) | Primary |
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