Individual
DR. BRYAN T LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1305 WESTLOOP PL, MANHATTAN, KS 66502-2841
(785) 539-5949
(785) 539-2717
Mailing address
1305 WESTLOOP PL, MANHATTAN, KS 66502-2841
(785) 539-5949
(785) 539-2717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61393
KS
1223G0001X
General Practice Dentistry
61393
NE
Other
Enumeration date
10/02/2018
Last updated
10/05/2022
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