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Search › Idaho › 122300000X

Matthew Larson, DDS

NPI 1497066989 · on the registry since 2010

Practice

Address
2033 E Summersweet Dr
Boise, ID 83716
Phone
(208) 284-3745
Fax
(208) 331-0184
Organisation at this address
Pmr Healthcare
Idaho State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-29

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