Individual
DR. AARON DAVID LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
925 WBIRCH, GLENROCK, WY 82637
(307) 436-8770
(307) 436-8771
Mailing address
PO BOX 2320, GLENROCK, WY 82637-2320
(307) 436-8770
(307) 436-8771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1278
WY
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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