DONALD E LARSON DMD PC

EAGLE, ID
NPI1417055062
Entity TypeOrganization
Authorized ContactDONALD E LARSON
President
208-939-1570
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3551)
Enumeration Date2006-09-20
Last Update Date2020-08-22
Business Address
DONALD E LARSON DMD PC
700 E STATE ST SUITE 100
EAGLE, ID 83616
Phone number: 208-939-3500
Mailing Address
DONALD E LARSON DMD PC
5919 N LILYBROOK PL
BOISE, ID 83713
Phone number: 208-939-1570