Anthony Larson

NPI #1669554580 in Richmond, Utah

Provider Information

NPI Number: 1669554580
Entity Type: Individual
Name: Anthony Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 105 S 200 W
City: Richmond
State: Utah
ZIP Code: 84333-1278
Phone: (435) 258-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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