KIM E. LARSON

PUYALLUP, WA
NPI1568546778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: WA  5944)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
-- KIM E. LARSON DDS
4104 10TH ST SE
PUYALLUP, WA 98374-2190
Phone number: 253-841-1943
Mailing Address
-- KIM E. LARSON DDS
4104 10TH STREET SE
PUYALLUP, WA 98374-2190
Phone number: 253-841-1943
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