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Organization
GARY A. LARSEN, DDS, INC.
Active
Organization
GARY A. LARSEN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLYN LARSEN D.D.S. (OWNER/DENTIST)
(559) 226-6060
Entity
Organization
Contact information
Practice address
1275 W SHAW AVE STE 110, FRESNO, CA 93711-3710
(559) 226-6060
(559) 226-6062
Mailing address
2812 MORRIS AVE, CLOVIS, CA 93611-3437
(559) 322-9679
(559) 226-6062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41749
CA
Other
Enumeration date
06/26/2006
Last updated
01/07/2014
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