BRADLEY LARSEN, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1760404164
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DE00005129 (WA) |
Frequently Asked Questions
NPI 1760404164 is the National Provider Identifier for BRADLEY LARSEN, D.D.S., a Dentist - General Practice provider located in Morton, WA. This NPI was enumerated on July 24, 2006.
BRADLEY LARSEN, D.D.S. practices at 148 DIVISION AVE, Morton, WA 98356.
Quick Facts
- NPI
- 1760404164
- Type
- Individual
- Enumerated
- Jul 24, 2006
- Last Updated
- Feb 7, 2023
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