Organization
CHASE LARSEN DMD PLLC
Active
Other names
Chase Inspired Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE MICHAEL LARSEN DMD (MANAGING MEMBER)
(801) 859-5680
Entity
Organization
Contact information
Practice address
723 E 12200 S, DRAPER, UT 84020
(801) 859-5680
Mailing address
723 E 12200 S STE 101, DRAPER, UT 84020-9885
(801) 683-5239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/06/2020
Last updated
06/07/2022
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