Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY LARSEN, D.D.S.
ActiveGeneral Dentistry · MORTON, WA
Registration Details
- NPI Number
- 1760404164
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (19.786975420067 yrs)
- Last Updated
- Feb 7, 2023
- License
-
DE00005129 (WA)
Practice Information
- Address
-
148 DIVISION AVEMORTON, WA, 983569300Browse WA providers · Browse ZIP 98356
- Phone
- 3604965101
- Fax
- 3604964123
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MORTON, WA
| Name | Credential | NPI |
|---|---|---|
| CHERI BEITIA | DDS | 1407847072 |
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.