Individual
KYRON MILEN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
Mailing address
PO BOX 12, AURORA, UT 84620-0012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61186043
WA
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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