CARL LARSON

MERIDIAN, ID
NPI1295048692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-4553)
Enumeration Date2010-07-15
Last Update Date2021-04-22
Business Address
Dr. CARL LARSON DDS
3909 E FAIRVIEW AVE STE 150
MERIDIAN, ID 83642-5814
Phone number: 208-996-5808
Mailing Address
Dr. CARL LARSON DDS
3909 E FAIRVIEW AVE STE 150
MERIDIAN, ID 83642-5814
Phone number: 208-996-5808
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