Individual
DR. CHARLES MICHAEL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
190 S WHITE CHAPEL BLVD, SOUTHLAKE, TX 76092-7307
(817) 488-3636
(817) 421-2372
Mailing address
190 S WHITE CHAPEL BLVD, SOUTHLAKE, TX 76092-7307
(817) 488-3636
(817) 421-2372
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21856
TX
Other
Enumeration date
10/29/2007
Last updated
10/28/2025
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