Donald E Larson, D.M.D.

NPI #1235435744 in Eagle, Idaho

Provider Information

NPI Number
1235435744
Entity Type
Individual
Name
Donald E Larson, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jan 31, 2011
Last Updated
Jan 31, 2011

Practice Location

Address
700 E STATE ST STE 100
City
Eagle
State
Idaho
ZIP Code
83616-5941
Phone
(208) 939-3500

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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