Individual
DR. RALPH T LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1949 E 5600 S, HOLLADAY, UT 84121-1351
(801) 277-8395
(801) 277-5443
Mailing address
1949 E 5600 S, HOLLADAY, UT 84121-1351
(801) 277-8395
(801) 277-5443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
132834-9921
UT
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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