KEVIN T LARSON

PORTLAND, OR
NPI1154449932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D8521)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Dr. KEVIN T LARSON DMD
9370 SW GREENBURG RD GRANT NORTH SUITE D
PORTLAND, OR 97223
Phone number: 503-245-6441
Mailing Address
Dr. KEVIN T LARSON DMD
31108 SW PAULINA CT
WILSONVILLE, OR 97070-8529
Phone number:
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