Individual
DR. MARK LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3773 W INA RD STE 180, TUCSON, AZ 85741-2292
(520) 579-8166
Mailing address
12979 N DESERT OLIVE DR, ORO VALLEY, AZ 85755-1860
(520) 344-9285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7536
AZ
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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