Individual
DR. PAUL CHRISTIAN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
395 E 500 S, BOUNTIFUL, UT 84010-4924
(801) 295-8881
Mailing address
395 E 500 S, BOUNTIFUL, UT 84010-4924
(801) 295-8881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5332372-9922
UT
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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