NIELS LARSEN V, D.D.S.

Dentist - General Practice

Active Individual
NPI: 1770796070

Practice Address

950 HOSPITAL WAY
SUITE B
Pocatello, ID 83201

Phone: (208) 233-7007

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes D-1599 (ID)

Frequently Asked Questions

NPI 1770796070 is the National Provider Identifier for NIELS LARSEN V, D.D.S., a Dentist - General Practice provider located in Pocatello, ID. This NPI was enumerated on May 7, 2007.
NIELS LARSEN V, D.D.S. practices at 950 HOSPITAL WAY, SUITE B, Pocatello, ID 83201.

Quick Facts

NPI
1770796070
Type
Individual
Enumerated
May 7, 2007
Last Updated
Jul 8, 2007

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