Individual
STEPHEN TROY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2039 E MICHIGAN AVE, SALT LAKE CITY, UT 84108-1366
(330) 285-1006
Mailing address
2039 E MICHIGAN AVE, SALT LAKE CITY, UT 84108-1366
(330) 285-1006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14223789-9926
UT
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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