Kelly James Larson, DDS

NPI #1346310414 in Prescott Valley, Arizona

Provider Information

NPI Number
1346310414
Entity Type
Individual
Name
Kelly James Larson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8086 E FLORENTINE RD
State
Arizona
ZIP Code
86314-9422
Phone
(928) 772-8128

Specialties & Taxonomy Codes

Specialty
Dentist

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