Individual
DR. KEITH C. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 845-0686
(808) 845-0798
Mailing address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 845-0686
(808) 845-0798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CSDT-20
HI
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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