Individual
PAXTON LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(580) 442-5925
Mailing address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14229032-9926
UT
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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