NPI 1780842526

Alisha Marie Larson, RDHBS

Practitioner Dental Hygienist Fort Washakie, WY

Practice location

Address: 29 Black Coal Drive, Fort Washakie, WY 82514
Phone: (307) 332-3527
Mailing address: 1210 McDougall Dr, Lander, WY 82520-3531

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 747 (WY)

Other Dental Hygienist providers in Wyoming →

Registry record

NPI: 1780842526
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2008
Record last updated: 29 May 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.