Search › Washington › 1223G0001X
Bradley Larsen, D.D.S
NPI 1760404164 · on the registry since 2006
Practice
- Address
- 148 Division Ave
Morton, WA 98356 - Phone
- (360) 496-5101
- Fax
- (360) 496-4123
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-07
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 Washington