Individual
LARRY KUXHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3866 S 74TH ST, SUITE 200, TACOMA, WA 98409-1045
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4170
WA
Other
Enumeration date
03/15/2014
Last updated
09/08/2016
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