SearchIdahoGeneral Practice Dentistry

Carl Larson, DDS

NPI 1295048692 · on the registry since 2010 · sole proprietor

Practice

Address
3909 E Fairview Ave Ste 150
Meridian, ID 83642
Phone
(208) 996-5808
Organisation at this address
Kng Mobility, Inc
Adacare Dental & Dentures Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-22

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