Individual
DR. LARISSE SKENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
166 E 5900 S STE B101, MURRAY, UT 84107-7271
(801) 270-7070
Mailing address
5804 S COVE CREEK LN, MURRAY, UT 84107-6646
(801) 652-7256
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
70080289921
UT
Other
Enumeration date
07/29/2008
Last updated
03/21/2022
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