DR. Bruce Merrill Larsen, DDS PC

NPI #1184839912 in Mt Pleasant, Utah

Provider Information

NPI Number: 1184839912
Entity Type: Individual
Name: DR. Bruce Merrill Larsen, DDS PC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS PC
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 240 N STATE ST # 21
City: Mt Pleasant
State: Utah
ZIP Code: 84647-1107
Phone: (435) 462-2491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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