ETHAN JAMES LARSON

GILBERT, AZ
NPI1083975759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AZ  D011332)
Enumeration Date2012-05-30
Last Update Date2024-11-15
Business Address
Dr. ETHAN JAMES LARSON D.M.D. M.S.
4365 E PECOS RD STE 136
GILBERT, AZ 85295-8053
Phone number: 480-712-9595
Mailing Address
Dr. ETHAN JAMES LARSON D.M.D. M.S.
4365 E PECOS RD STE 136
GILBERT, AZ 85295-8053
Phone number: 480-712-9595
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