Larsen Family Dentistry, P.c.

NPI #1205010287 in Jackson, Wyoming

Provider Information

NPI Number: 1205010287
Entity Type: Organization
Organization Name: Larsen Family Dentistry, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 26, 2007
Last Updated: Nov 28, 2017

Practice Location

Address: 3103 W BIG TRAIL DR
City: Jackson
State: Wyoming
ZIP Code: 83001-9296
Phone: (307) 733-4778

Authorized Official

Name: DR. SCOTT COBURN LARSEN, DMD
Title: DENTIST
Phone: (307) 733-4778

Specialties & Taxonomy Codes

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

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