Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM E. LARSON, DDS
Active Sole ProprietorKIM E. LARSON, DDS is a Pediatric Dentistry healthcare provider located in PUYALLUP, Washington. NPI 1568546778 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PUYALLUP, WA
Registration Details
- NPI Number
- 1568546778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.818567671592 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5944 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4104 10TH ST SEPUYALLUP, WA, 983742190Browse WA providers · Browse ZIP 98374
- Phone
- 2538411943
- Fax
- 2538413670
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
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.