Larsen Family Dentistry, P.c.

NPI 1205010287 - Dentist - 1223G0001X

NPI Details
NPI 1205010287
Enumeration Date 12/26/2007
Last Updated 12/26/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SCOTT COBURN SCOTT
Position DENTIST
Phone (307) 733-4778
Fax (307) 734-8041
Practice Location
245 E. BROADWAY
JACKSON WY, 83001-4935, US
Phone (307) 733-4778
Fax (307) 734-8041
Business Location
PO BOX 4935
JACKSON WY, 83001-4935, US
Phone (307) 733-4778
Fax (307) 733-8041
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Larsen Family Dentistry, P.c. NPI is 1205010287, taxonomy code is 1223G0001X Larsen Family Dentistry, P.c. physically located at 245 E. Broadway, Jackson WY, 83001-4935. NPI Number 1033115704 has the healthcare provider type.

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1205010287 NPI number is provided on an as is basis without warranty of any kind. 1205010287 is maintained by the National Plan & Provider Enumeration System. The contents of Larsen Family Dentistry, P.c. are for informational purposes only.