NPI 1053591495

W.Brent Larsen, D.D.S., P.A.

Organisation Dental Clinic/Center Cabot, AR

Practice location

Address: 3 Templeton Dr, Cabot, AR 72023-3821
Phone: (501) 843-9306
Fax: (501) 843-4251

Authorised official

Name: W. Brent Larsen
Title: Owner
Phone: (501) 843-9306

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 2976 (AR)

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1053591495
Entity type: Organization
NPI issued: 13 Nov 2007
Record last updated: 13 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.