Mark Larsen DMD

NPI 1417110016 - Dentist - 1223G0001X

NPI Details
NPI 1417110016
Gender Male
Enumeration Date 07/03/2008
Last Updated 07/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3773 W INA RD STE 180
TUCSON AZ, 85741-2292, US
Phone (520) 579-8166
Fax
Business Location
12979 N DESERT OLIVE DR
ORO VALLEY AZ, 85755-1860, US
Phone (520) 344-9285
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 7536
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According to our database, Dr. Mark Larsen DMD NPI is 1417110016, taxonomy code is 1223G0001X and license number is 7536, license state is located at Arizona. Mark Larsen DMD physically located at 3773 W Ina Rd Ste 180, Tucson AZ, 85741-2292. NPI Number Mark Larsen DMD has the Individual type.

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1417110016 NPI number is provided on an as is basis without warranty of any kind. 1417110016 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Larsen DMD are for informational purposes only.