Individual
DR. DANIEL R LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
181 N 1200 E, LEHI, UT 84043-2224
(801) 610-4460
Mailing address
181 N 1200 E, LEHI, UT 84043-2224
(801) 610-4460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9844479-9921
UT
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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