Advanced Southlake Endodontics, Pllc
NPI #1730331778 in Southlake, Texas
Provider Information
- NPI Number
- 1730331778
- Entity Type
- Organization
- Organization Name
- Advanced Southlake Endodontics, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 22, 2008
- Last Updated
- Oct 22, 2008
Practice Location
Authorized Official
- Name
- DR. CHARLES MICHAEL LARSEN, DDS
- Title
- MEMBER
- Phone
- (817) 488-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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