DR. Kevin T Larson, DMD

NPI #1154449932 in Portland, Oregon

Provider Information

NPI Number: 1154449932
Entity Type: Individual
Name: DR. Kevin T Larson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9370 SW GREENBURG RD GRANT NORTH
Address 2: SUITE D
City: Portland
State: Oregon
ZIP Code: 97223
Phone: (503) 245-6441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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