Cyrus Michael Larson DMD

NPI 1891096079 - Dentist - 1223G0001X

NPI Details
NPI 1891096079
Gender Male
Enumeration Date 11/04/2010
Last Updated 05/26/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
628 SOUTH AVE W
SUITE B
MISSOULA MT, 59801-8020, US
Phone (801) 310-7039
Fax
Business Location
628 SOUTH AVE W
SUITE B
MISSOULA MT, 59801-8020, US
Phone (801) 310-7039
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number D 8121
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According to our database, Dr. Cyrus Michael Larson DMD NPI is 1891096079, taxonomy code is 1223G0001X and license number is D 8121, license state is located at Arizona. Cyrus Michael Larson DMD physically located at 628 South Ave W, Missoula MT, 59801-8020. NPI Number Cyrus Michael Larson DMD has the Individual type.

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1891096079 NPI number is provided on an as is basis without warranty of any kind. 1891096079 is maintained by the National Plan & Provider Enumeration System. The contents of Cyrus Michael Larson DMD are for informational purposes only.