Kelly Larson, DDS
NPI 1346310414 · on the registry since 2006 · sole proprietor
Practice
- Address
- 8086 E Florentine Rd
Prescott Valley, AZ 86314 - Phone
- (928) 772-8128
- Fax
- (928) 772-2369
- Organisation at this address
- Larson Family Dentistry
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- AZ
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 Arizona