Kg1 Pllc
NPI #1265308753 in Phoenix, Arizona
Provider Information
- NPI Number
- 1265308753
- Entity Type
- Organization
- Organization Name
- Kg1 Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 13, 2025
- Last Updated
- Oct 13, 2025
Practice Location
Authorized Official
- Name
- DR. CLARK D LARSON, DDS
- Title
- OWNER
- Phone
- (480) 310-7721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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