KELLY JAMES LARSON

PRESCOTT VALLEY, AZ
NPI1346310414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AZ  D4296)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- KELLY JAMES LARSON DDS
8086 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314-9422
Phone number: 928-772-8128
Mailing Address
-- KELLY JAMES LARSON DDS
8086 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314-9422
Phone number: 928-772-8128
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