Clyde S. Larsen, DDS

NPI #1407032113 in Price, Utah

Provider Information

NPI Number: 1407032113
Entity Type: Individual
Name: Clyde S. Larsen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 11, 2008
Last Updated: Jan 11, 2008

Practice Location

Address: 190 N CARBON AVE
City: Price
State: Utah
ZIP Code: 84501-2474
Phone: (435) 637-0795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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