Whalio Doctors

NPI 1033407531

Aaron David Larsen, DDS

Practitioner General Practice Dentistry Glenrock, WY

Practice location

Address
925 Wbirch, Glenrock, WY 82637
Phone
(307) 436-8770
Fax
(307) 436-8771
Mailing address
PO Box 2320, Glenrock, WY 82637-2320

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 1278 (WY)

Registry record

NPI
1033407531
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jul 2011
Record last updated
18 Jul 2011

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.