Individual
DR. ALEXANDER BUEHLER LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
385 W CENTER ST, OREM, UT 84057-4638
(801) 224-1117
(801) 224-3041
Mailing address
385 W CENTER ST, OREM, UT 84057-4638
(801) 224-1117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
140100-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7738
DENTAL INSURANCE COMPANY
UT
Enumeration date
02/08/2018
Last updated
02/08/2018
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