Russell M Larsen, DDS

NPI #1013014471 in Montesano, Washington

Provider Information

NPI Number: 1013014471
Entity Type: Individual
Name: Russell M Larsen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 20, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 208 E BROADWAY AVE
City: Montesano
State: Washington
ZIP Code: 98563-3706
Phone: (360) 249-3151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Larsen, Dds-Blanchard, Dmd, Ps	Dentist	Montesano	AI Deep Dive

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