DR. MICHAEL LARSEN, D.D.S.

Dentist - General Practice

Active Individual
NPI: 1376570242

Practice Address

1361 E 16TH ST
Burley, ID 83318

Phone: (208) 677-5198

Specialties

Specialty Code Primary License
Dentist 122300000X No DE10258 (WA)
Dentist - General Practice 1223G0001X Yes D-3993 (ID)

Frequently Asked Questions

NPI 1376570242 is the National Provider Identifier for DR. MICHAEL LARSEN, D.D.S., a Dentist - General Practice provider located in Burley, ID. This NPI was enumerated on June 27, 2006.
DR. MICHAEL LARSEN, D.D.S. practices at 1361 E 16TH ST, Burley, ID 83318.

Quick Facts

NPI
1376570242
Type
Individual
Enumerated
Jun 27, 2006
Last Updated
Nov 27, 2012

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