Individual
BYRON LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6120 W BELL RD, STE 180, GLENDALE, AZ 85308-3781
(602) 298-7200
(602) 298-7202
Mailing address
6120 W. BELL RD, STE 180, GLENDALE, AZ 85308
(602) 298-7200
(602) 298-7202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018657
MI
Other
Enumeration date
06/27/2007
Last updated
07/16/2008
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