MATTHEW LARSON

BOISE, ID
NPI1497066989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D4311)
Enumeration Date2010-06-29
Last Update Date2010-06-29
Business Address
Dr. MATTHEW LARSON DDS
2033 E SUMMERSWEET DR
BOISE, ID 83716-6695
Phone number: 208-284-3745
Mailing Address
Dr. MATTHEW LARSON DDS
2033 E SUMMERSWEET DR
BOISE, ID 83716-6695
Phone number: 208-284-3745
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