Organization · Type 2 NPI
W.brent Larsen, D.d.s., P.a.
Dental Clinic/Center · Cabot, AR
NPI number
1053591495
Active
Practice location
3 Templeton Dr
Cabot, AR 72023-3821
Fax (501) 843-4251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2976 (AR) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Cabot
About NPI 1053591495
W.brent Larsen, D.d.s., P.a.'s National Provider Identifier is 1053591495, issued on Nov 13, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cabot, AR. The record was last updated on Nov 13, 2007.