Larsen, Dds-Blanchard, Dmd, Ps

NPI #1619073061 in Montesano, Washington

Provider Information

NPI Number
1619073061
Entity Type
Organization
Organization Name
Larsen, Dds-Blanchard, Dmd, Ps
Primary Specialty
Dentist
Enumeration Date
Sep 15, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
208 E BROADWAY AVE
ZIP Code
98563-3706
Phone
(360) 249-3151

Authorized Official

Name
RUSSELL M LARSEN, DDS
Title
CO-OWNER
Phone
(360) 249-3151

Specialties & Taxonomy Codes

Specialty
Dentist

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