Male or Other

Kim E. Larson DDS

Prosthodontist in Puyallup, WA(View on Map)

Full Name

Kim E. Larson DDS

NPI Number

1568546778

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/24/2006

Specialties

(Taxonomies)

Code

1223P0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

5944

Contact
Information

Purpose

Mailing
Location

Address

4104 10TH STREET SE
4104 10TH ST SE

City

Puyallup
Puyallup

State

WA
WA

Postal Code

98374-2190
98374-2190

Country

US
US

Telephone Number

(253) 841-1943
(253) 841-1943

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address