JEFFREY D LARSON

CALDWELL, ID
NPI1164435855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  D3638)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- JEFFREY D LARSON D.M.D., P.C.
1211 S KIMBALL AVE
CALDWELL, ID 83605-4626
Phone number: 208-454-2061
Mailing Address
-- JEFFREY D LARSON D.M.D., P.C.
1211 S KIMBALL AVE
CALDWELL, ID 83605-4626
Phone number: 208-454-2061
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