Individual
DR. GREGORY PAUL LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7370 S CREEK ROAD, SUITE 104, SANDY, UT 84093-6105
(801) 566-4100
(801) 562-2152
Mailing address
7370 S CREEK ROAD, SUITE 104, SANDY, UT 84093-6105
(801) 566-4100
(801) 562-2152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
942721379922
UT
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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