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Organization
PEORIA VALLEY FAMILY DENTISTRY PLLC
Active
Organization
PEORIA VALLEY FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LARSON DMD (OWNER)
(406) 544-1961
Entity
Organization
Contact information
Practice address
7017 W IRMA LN, GLENDALE, AZ 85308-9474
(406) 544-1961
Mailing address
7017 W IRMA LN, GLENDALE, AZ 85308-9474
(406) 544-1961
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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