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1790288306
DALLIN LARSON
MERIDIAN, ID
NPI
1790288306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: ID D-5309-EN)
Enumeration Date
2018-03-10
Last Update Date
2021-07-01
Business Address
DALLIN LARSON DDS
3240 E LOUISE DR
MERIDIAN, ID 83642-5107
Phone number: 208-898-8866
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Mailing Address
DALLIN LARSON DDS
2289 N MONTGOMERY AVE
MERIDIAN, ID 83646-8819
Phone number: 208-859-4112
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