Individual provider · Type 1 NPI

Jeffrey D. Larson, DMD, P.C.

General Practice Dentistry · Caldwell, ID

NPI number 1164435855 Active

About NPI 1164435855

Jeffrey D. Larson, DMD, P.C.'s National Provider Identifier is 1164435855, issued on Aug 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Caldwell, ID. The record was last updated on Jul 8, 2007.