DR. Jason M Larsen, D.D.S.

NPI #1073826905 in N Richland Hills, Texas

Provider Information

NPI Number
1073826905
Entity Type
Individual
Name
DR. Jason M Larsen, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 20, 2010
Last Updated
Jul 20, 2010

Practice Location

Address
8528 DAVIS BLVD
Address 2
SUITE #100
State
Texas
ZIP Code
76182-8367
Phone
(817) 605-8067

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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