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1417081308
ERIC A. LARSON
SALT LAKE CITY, UT
NPI
1417081308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 334445-9921)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Dr. ERIC A. LARSON D.D.S.
928 E 100 S STE #B
SALT LAKE CITY, UT 84102-1455
Phone number: 801-355-4733
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Mailing Address
Dr. ERIC A. LARSON D.D.S.
928 EAST 100 SOUTH STE #B
SALT LAKE CITY, UT 84102-8410
Phone number: 801-355-4733
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