A Larsen Wellness PC

NPI #1124641576 in Orem, Utah

Provider Information

NPI Number: 1124641576
Entity Type: Organization
Organization Name: A Larsen Wellness PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 20, 2020
Last Updated: May 20, 2020

Practice Location

Address: 812 S STATE ST
City: Orem
State: Utah
ZIP Code: 84097-7026
Phone: (801) 691-7365

Authorized Official

Name: CORBIN COWAN
Title: CEO
Phone: (405) 229-4052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Dental Anesthesiology — Dental Anesthesiology	1223D0004X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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