Individual
ANDREW CHARLES LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2217 W HAPPY VALLEY RD STE 100, PHOENIX, AZ 85085-1604
(623) 581-7031
Mailing address
7593 W REDBIRD RD, PEORIA, AZ 85383-6253
(480) 639-7651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012502
AZ
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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