WADE E. LARSON

NORTH OGDEN, UT
NPI1740308048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: UT  5675989)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
DR. WADE E. LARSON
2707 N 400 E
NORTH OGDEN, UT 84414-2241
Phone number: 801-782-0866
Mailing Address
DR. WADE E. LARSON
2707 N 400 E
NORTH OGDEN, UT 84414-2241
Phone number: 801-782-0866
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