Individual
DR. JEFFREY GRANT LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2501 CAPEHART RD, OFFUTT A F B, NE 68113-1043
(402) 294-3212
Mailing address
2501 CAPEHART RD, OFFUTT A F B, NE 68113-1043
(402) 294-3212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60665
KS
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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