KIRK ROLAND LARSON

BULLHEAD CITY, AZ
NPI1356495766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  4026)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Dr. KIRK ROLAND LARSON D.D.S.
1093 HANCOCK RD
BULLHEAD CITY, AZ 86442-5904
Phone number: 928-758-5588
Mailing Address
Dr. KIRK ROLAND LARSON D.D.S.
1093 HANCOCK RD
BULLHEAD CITY, AZ 86442-5904
Phone number: 928-758-5588