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1891829941
BRENT A. LARSON
SALT LAKE CITY, UT
NPI
1891829941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 139116-9922)
Enumeration Date
2007-03-14
Last Update Date
2023-10-22
Business Address
Dr. BRENT A. LARSON D.D.S.
928 E 100 S STE #A
SALT LAKE CITY, UT 84102-1455
Phone number: 801-355-5558
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Mailing Address
Dr. BRENT A. LARSON D.D.S.
928 E 100 S STE #A
SALT LAKE CITY, UT 84102-1455
Phone number: 801-355-5558
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