Individual
DR. CLARK DAVID LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
270 E HUNT HWY STE 14, SAN TAN VALLEY, AZ 85143-4964
(480) 888-2271
Mailing address
24433 S 201ST CT, QUEEN CREEK, AZ 85142-5097
(480) 310-7721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25454
TX
122300000X
Dentist
Primary
8141
AZ
Other
Enumeration date
06/11/2010
Last updated
09/24/2020
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