Individual
DR. TREVOR LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4476 W VAN GIESEN ST, WEST RICHLAND, WA 99353-5411
(509) 967-3421
(509) 967-2186
Mailing address
4476 W VAN GIESEN ST, WEST RICHLAND, WA 99353-5411
(509) 967-3421
(509) 967-2186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046776
—
WA
Enumeration date
06/13/2006
Last updated
07/08/2007
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