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)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