Zack Larson D.D.S.

NPI 1528323540 - Dentist - 1223G0001X

NPI Details
NPI 1528323540
Gender Male
Enumeration Date 07/05/2012
Last Updated 07/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1093 HANCOCK RD
BULLHEAD CITY AZ, 86442-5904, US
Phone (928) 758-5588
Fax
Business Location
1093 HANCOCK RD
BULLHEAD CITY AZ, 86442-5904, US
Phone (928) 758-5588
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number D008429
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According to our database, Dr. Zack Larson D.D.S. NPI is 1528323540, taxonomy code is 1223G0001X and license number is D008429, license state is located at Arizona. Zack Larson D.D.S. physically located at 1093 Hancock Rd, Bullhead City AZ, 86442-5904. NPI Number Zack Larson D.D.S. has the Individual type.

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1528323540 NPI number is provided on an as is basis without warranty of any kind. 1528323540 is maintained by the National Plan & Provider Enumeration System. The contents of Zack Larson D.D.S. are for informational purposes only.