Kyle Luis Larsen, DDS

NPI #1386166304 in Trinidad, Colorado

Provider Information

NPI Number: 1386166304
Entity Type: Individual
Name: Kyle Luis Larsen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 11, 2017
Last Updated: Oct 28, 2020

Practice Location

Address: 928 SMITH AVE
City: Trinidad
State: Colorado
ZIP Code: 81082-2841
Phone: (719) 422-8810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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