PAUL LARSEN

MISHAWAKA, IN
NPI1609955798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12008917A)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
-- PAUL LARSEN dds
165 W UNIVERSITY DR
MISHAWAKA, IN 46545-1199
Phone number: 574-271-1060
Mailing Address
-- PAUL LARSEN dds
165 W UNIVERSITY DR
MISHAWAKA, IN 46545-1199
Phone number: 574-271-1060
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