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Search › Idaho › 1223G0001X

Donald Larson, D.M.D

NPI 1235435744 · on the registry since 2011 · sole proprietor

Practice

Address
700 E State St Ste 100
Eagle, ID 83616
Phone
(208) 939-3500
Fax
(208) 939-9897
Organisation at this address
Donald E Larson Dmd Pc
Eagle Natural Dentistry Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-31

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