Organization
A LARSEN WELLNESS PC
Active
Other names
Neuvo Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CORBIN COWAN (CEO)
(405) 229-4052
Entity
Organization
Contact information
Practice address
812 S STATE ST, OREM, UT 84097-7026
(801) 691-7365
Mailing address
812 S STATE ST, OREM, UT 84097-7026
(801) 691-7365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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