CLYDE S. LARSEN

PRICE, UT
NPI1407032113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  133591)
Enumeration Date2008-01-11
Last Update Date2008-01-11
Business Address
-- CLYDE S. LARSEN DDS
190 N CARBON AVE
PRICE, UT 84501-2474
Phone number: 435-637-0795
Mailing Address
-- CLYDE S. LARSEN DDS
190 N CARBON AVE
PRICE, UT 84501-2474
Phone number: 435-637-0795
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