Tanner Christopher Larson, DMD

NPI #1003474966 in Bullhead City, Arizona

Provider Information

NPI Number: 1003474966
Entity Type: Individual
Name: Tanner Christopher Larson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 4, 2019
Last Updated: Jun 4, 2019

Practice Location

Address: 1093 HANCOCK RD
City: Bullhead City
State: Arizona
ZIP Code: 86442-5904
Phone: (928) 758-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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