LARSEN DENTAL CARE NPI 1104061449

NPI Information

LARSEN DENTAL CARE is a general practice dentist in Pocatello, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LARSEN DENTAL CARE NPI is 1104061449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

950 HOSPITAL WAY
SUITE B
POCATELLO, ID
ZIP 83201-789
Phone: (208) 233-7007
Fax: (208) 233-2512

The provider's authorized official is Bryce R Larsen .
The authorized official title is Dentist Owner and has the following contact phone number (208) 233-7007.

The enumeration date for this NPI number is 12/15/2008 and was last updated on 12/15/2008.

Taxonomy Codes

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Other Identifiers

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