| Russell M Larsen, DDS | |
|
208 E Broadway Ave, Montesano, WA 98563-3706 | |
| (360) 249-3151 | |
| (360) 249-5129 |
| Full Name | Russell M Larsen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 208 E Broadway Ave, Montesano, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013014471 | NPI | - | NPPES |
| 5032016 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00007407 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Russell M Larsen, DDS 208 E Broadway Ave, Montesano, WA 98563-3706 Ph: (360) 249-3151 | Russell M Larsen, DDS 208 E Broadway Ave, Montesano, WA 98563-3706 Ph: (360) 249-3151 |
Dr. Lance Gunter, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 E Broadway Ave, Montesano, WA 98563 Phone: 360-878-3654 | |
Kevin Farr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 E Broadway Ave, Montesano, WA 98563 Phone: 360-470-6389 | |
Michael W Lawr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 Broadway Ave E, Montesano, WA 98563 Phone: 360-249-5100 Fax: 360-249-6516 | |
Greg Leo Blanchard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 E Broadway Ave, Montesano, WA 98563 Phone: 360-249-3151 Fax: 360-249-5129 |