Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL M LARSEN, DDS
ActiveRUSSELL M LARSEN, DDS is a Dentist healthcare provider located in MONTESANO, Washington. NPI 1013014471 is currently active in the NPPES registry. Verify at CMS.
Dentist · MONTESANO, WA
Registration Details
- NPI Number
- 1013014471
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.718618963586 yrs)
- Last Updated
- Jul 9, 2007
- License
-
DE00007407 (WA)
Practice Information
- Address
-
208 E BROADWAY AVEMONTESANO, WA, 985633706Browse WA providers · Browse ZIP 98563
- Phone
- 3602493151
- Fax
- 3602495129
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MONTESANO, WA
| Name | Credential | NPI |
|---|---|---|
| GREG LEO BLANCHARD | DMD | 1992801336 |
| DR. LANCE GUNTER | D.D.S. | 1457702326 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.