NPI 1407032113

Clyde S. Larsen, DDS

Practitioner Dentist Price, UT

Practice location

Address: 190 N Carbon Ave, Price, UT 84501-2474
Phone: (435) 637-0795

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 133591 (UT)

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Registry record

NPI: 1407032113
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2008
Record last updated: 11 Jan 2008

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.