Individual
DR. CHASE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
723 E 12200 S STE 101, DRAPER, UT 84020-9885
(801) 683-5239
Mailing address
723 E 12200 S STE 101, DRAPER, UT 84020-9885
(801) 683-5239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9361973-9923
UT
1223G0001X
General Practice Dentistry
D4591
ID
Other
Enumeration date
06/26/2014
Last updated
06/07/2022
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