DONALD E LARSON

EAGLE, ID
NPI1235435744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3551)
Enumeration Date2011-01-31
Last Update Date2011-01-31
Business Address
-- DONALD E LARSON D.M.D.
700 E STATE ST STE 100
EAGLE, ID 83616-5941
Phone number: 208-939-3500
Mailing Address
-- DONALD E LARSON D.M.D.
5919 N LILYBROOK PL
BOISE, ID 83713-1381
Phone number: 208-939-1570
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