DR. Scott Coburn Larsen, DMD

NPI #1346343373 in Jackson, Wyoming

Provider Information

NPI Number: 1346343373
Entity Type: Individual
Name: DR. Scott Coburn Larsen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 245 E BROADWAY
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-4778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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