DR. Charles Michael Larsen, D.D.S.

NPI #1568641413 in Southlake, Texas

Provider Information

NPI Number
1568641413
Entity Type
Individual
Name
DR. Charles Michael Larsen, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Endodontics
Credential
D.D.S.
Enumeration Date
Oct 29, 2007
Last Updated
Oct 28, 2025

Practice Location

Address
190 S WHITE CHAPEL BLVD
State
Texas
ZIP Code
76092-7307
Phone
(817) 488-3636

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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