Individual
DR. STEVEN SCOTT LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.
Contact information
Practice address
150 E 200 N, STE G, LOGAN, UT 84321-6602
(435) 753-7668
(435) 755-9815
Mailing address
150 E 200 N, STE G, LOGAN, UT 84321-6602
(435) 753-7668
(435) 755-9815
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
09-00635
UT
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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