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Jeffrey Larson, D.M.D., P.C
NPI 1164435855 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1211 S Kimball Ave
Caldwell, ID 83605 - Phone
- (208) 454-2061
- Fax
- (208) 459-6899
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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