Craig G. Larson, DDS PLLC
Clinic/Center, Dental in Longmont, CO. Organization (NPI-2).
NPI number1336770528
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1336770528
- Entity type
- Organization (NPI-2)
- Legal business name
- Craig G. Larson, DDS PLLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Larson Family Dentistry (Doing Business As)
Practice location
2051 Terry St Ste FLongmont, CO 80501-1872
Phone 303-678-7232 · Fax 303-678-7043
Mailing address
2051 Terry St Ste FLongmont, CO 80501-1872
Phone 303-678-7232 · Fax 303-678-7043
Authorized official
Craig Larson
Dentist/ Owner
3036787232
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