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1053591495
W.BRENT LARSEN, D.D.S., P.A.
CABOT, AR
NPI
1053591495
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Entity Type
Organization
Authorized Contact
W. BRENT LARSEN
Owner
501-843-9306
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: AR 2976)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
W.BRENT LARSEN, D.D.S., P.A.
3 TEMPLETON DR
CABOT, AR 72023-3821
Phone number: 501-843-9306
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Mailing Address
W.BRENT LARSEN, D.D.S., P.A.
3 TEMPLETON DR
CABOT, AR 72023-3821
Phone number: 501-843-9306
Copy
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