Individual
ANN ELIZABETH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH BS
Contact information
Practice address
4800 TABOR ST, WHEAT RIDGE, CO 80033-2112
(303) 421-4161
Mailing address
1182 CAMP EDEN RD, GOLDEN, CO 80403-8630
(303) 801-7569
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000903174
CO
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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