Austin Larson

NPI #1376224741 in Queen Creek, Arizona

Provider Information

NPI Number: 1376224741
Entity Type: Individual
Name: Austin Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 28, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 35 W COMBS RD STE 102
City: Queen Creek
State: Arizona
ZIP Code: 85140-9102
Phone: (480) 677-8580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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