Russell M. Larsen, DDS
General Dentistry · Montesano, WA
UnclaimedDDSNPI 1013014471
- Primary taxonomy
- 122300000X
- Enumerated
- 2006-09-20
- Practice location
- Montesano, WA
- Last NPPES update
- 2007-07-09
State licenses
- WA · Dentist · NPPES self-reportedListed on NPI record
- WA · Dentist · Dentist LicenseExpiredthrough 2020
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.