| Larsen-haslem Dental Llc | |
|
1214 W 500 S Vernal UT 84078-2916 | |
| (435) 781-2729 | |
| (435) 781-2719 |
| Full Name | Larsen-haslem Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1214 W 500 S, Vernal, Utah |
| Authorized Official Name and Position | Daren Lynn Larsen (OWNER) |
| Authorized Official Contact | 4357812729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larsen-haslem Dental Llc 1214 W 500 S Vernal UT 84078-2916 Ph: (435) 781-2729 | Larsen-haslem Dental Llc 1214 W 500 S Vernal UT 84078-2916 Ph: (435) 781-2729 |
| NPI Number | 1639567043 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639567043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 65632849922 (Utah) | Secondary |
| 261QD0000X | Clinic/center - Dental | 3411869922 (Utah) | Primary |
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Brian W Spendlove Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 753 W Highway 40, Vernal, UT 84078 Phone: 435-789-3312 | |
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