Organization
LARRY C. HARGREAVES, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY C HARGREAVES DDS (DOCTOR)
(620) 364-8414
Entity
Organization
Contact information
Practice address
314 NEOSHO ST, BURLINGTON, KS 66839-1926
(620) 364-8414
(620) 364-8416
Mailing address
314 NEOSHO ST, BURLINGTON, KS 66839-1926
(620) 364-8414
(620) 364-8416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096690C
—
KS
Enumeration date
04/10/2007
Last updated
10/18/2019
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