Organization
ADACARE DENTAL & DENTURES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL LARSON DDS (OWNER)
(208) 996-5808
Entity
Organization
Contact information
Practice address
3909 E FAIRVIEW AVE STE 150, MERIDIAN, ID 83642-5814
(208) 996-5808
(208) 996-7208
Mailing address
3909 E FAIRVIEW AVE STE 150, MERIDIAN, ID 83642-5814
(208) 996-5808
(208) 996-7208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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