Individual
DR. MAGGIE ELISABETH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3808 S 203RD PLZ STE 600, OMAHA, NE 68130-6404
(402) 397-6453
Mailing address
3808 S 203RD PLZ STE 600, OMAHA, NE 68130-6404
(402) 397-6453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7716
NE
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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