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1417790718
ERIC B LARSON
PHOENIX, AZ
NPI
1417790718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ D012213)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
ERIC B LARSON DMD
4850 N 83RD AVE
PHOENIX, AZ 85033-1044
Phone number: 623-385-7100
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Mailing Address
ERIC B LARSON DMD
6443 W ADOBE DR
GLENDALE, AZ 85308-7091
Phone number: 406-544-1961
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