Search › Idaho › 1223G0001X
Michael Larsen, D.D.S
NPI 1376570242 · on the registry since 2006
Practice
- Address
- 1361 E 16th St
Burley, ID 83318 - Phone
- (208) 677-5198
- Fax
- (208) 678-2245
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho