W.brent Larsen, D.d.s., P.a.

NPI #1053591495 in Cabot, Arkansas

Provider Information

NPI Number: 1053591495
Entity Type: Organization
Organization Name: W.brent Larsen, D.d.s., P.a.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 13, 2007
Last Updated: Nov 13, 2007

Practice Location

Address: 3 TEMPLETON DR
City: Cabot
State: Arkansas
ZIP Code: 72023-3821
Phone: (501) 843-9306

Authorized Official

Name: W. BRENT LARSEN, DDS
Title: OWNER
Phone: (501) 843-9306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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