SCOTT COBURN LARSEN

JACKSON, WY
NPI1346343373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WY  1060)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
Dr. SCOTT COBURN LARSEN DMD
245 E BROADWAY
JACKSON, WY 83001
Phone number: 307-733-4778
Mailing Address
Dr. SCOTT COBURN LARSEN DMD
PO BOX 4935 245 E BROADWAY
JACKSON, WY 83001
Phone number: 307-733-4778