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Organization

TODD S. LARSEN, DMD, PC

Active
Other names
Fort Union Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
TODD S LARSEN DMD (PRESIDENT)
(801) 562-2147
Entity
Organization

Contact information

Practice address
8915 S 700 E STE 103, SANDY, UT 84070-2421
(801) 562-2147
(801) 569-1795
Mailing address
8915 S 700 E STE 103, SANDY, UT 84070-2421
(801) 562-2147
(801) 569-1795

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
360817-9922
UT

Other

Enumeration date
05/13/2015
Last updated
11/13/2019
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