Garon E Larsen, DMD Valid NPI
Individual provider · Dentist · Alpine, UT
- NPI
- 1245302751
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 47486269922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-14
- Last updated
- 2007-07-08
Practice location
70 West Canyon Crest Road
Alpine, UT 84004
(801) 756-4440