Bradley Larsen, D.D.S.

NPI #1760404164 in Morton, Washington

Provider Information

NPI Number: 1760404164
Entity Type: Individual
Name: Bradley Larsen, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 24, 2006
Last Updated: Feb 7, 2023

Practice Location

Address: 148 DIVISION AVE
City: Morton
State: Washington
ZIP Code: 98356-9300
Phone: (360) 496-5101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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