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NPI Code Detail

MEDICARE: E. GRANT LARKIN, D.D.S.. P.A.

MEDICARE: E. GRANT LARKIN, D.D.S.. P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1063640803
Entity Type Code : Organization
Provider Name (Legal Business Name) : E. GRANT LARKIN, D.D.S.. P.A.
Provider Business Mailing Address
First Line : 2510 HENDERSON DR
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-3624
Country : US
Telephone Number : 620-275-4949
Fax Number : 620-275-0149
Provider Business Practice Location Address
First Line : 2510 HENDERSON DR
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-3624
Country : US
Telephone Number : 620-275-4949
Fax Number : 620-275-0149
Authorized Official
Title or Position : OWNER PRACTITIONER
Name : DR. E. GRANT LARKIN
Credential : D.D.S.
Telephone Number : 620-275-4949
Provider Enumeration Date : 07/01/2009
Last Update Date : 07/01/2009

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Directions to “E. GRANT LARKIN, D.D.S.. P.A. ” Practice Location

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