Individual
DR. TUCKER REED LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1093 HANCOCK RD, BULLHEAD CITY, AZ 86442-5904
(928) 758-5588
Mailing address
2024 E MOUNTAIN VIEW LOOP, FORT MOHAVE, AZ 86426-9299
(928) 201-0410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009713
AZ
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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