Todd S. Larsen, Dmd, Pc

NPI 1245618099 - Dentist - 1223G0001X

NPI Details
NPI 1245618099
Enumeration Date 05/13/2015
Last Updated 05/13/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TODD TODD
Position PRESIDENT
Phone (801) 562-2147
Fax (801) 569-1795
Practice Location
942 E NORTH UNION AVE
SUITE A108
MIDVALE UT, 84047-1764, US
Phone (801) 562-2147
Fax (801) 569-1795
Business Location
942 E NORTH UNION AVE
SUITE A108
MIDVALE UT, 84047-1764, US
Phone (801) 562-2147
Fax (801) 569-1795
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 360817-9922
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According to our database, Todd S. Larsen, Dmd, Pc NPI is 1245618099, taxonomy code is 1223G0001X and license number is 360817-9922, license state is located at Utah. Todd S. Larsen, Dmd, Pc physically located at 942 E North Union Ave, Midvale UT, 84047-1764. NPI Number 1033115704 has the healthcare provider type.

1245618099 NPI number is provided on an as is basis without warranty of any kind. 1245618099 is maintained by the National Plan & Provider Enumeration System. The contents of Todd S. Larsen, Dmd, Pc are for informational purposes only.