-- JEFFREY D LARSON -- D.M.D., P.C.
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1164435855- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D., P.C.
- Status
- Active
Contact & Location
- Address
- 1211 S KIMBALL AVE, CALDWELL, ID, 836054626
- Phone
- (208) 454-2061
- Fax
- (208) 459-6899
Specialties & Taxonomies
Dentist, General Practice
Primary License: IA #D3638