Individual
DR. WADE E. LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2707 N 400 E, NORTH OGDEN, UT 84414-2241
(801) 782-0866
(801) 782-1344
Mailing address
2707 N 400 E, NORTH OGDEN, UT 84414-2241
(801) 782-0866
(801) 782-1344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5675989
UT
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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