| Organization Name: | LARRY C. HARGREAVES, DDS |
| NPI Number: | 1023130127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY C. HARGREAVES (DOCTOR) |
| Mailing Address: | 1401 Sw 37th St Topeka |
| State: | KS US |
| Postal Code: | 666112369 |
| Phone Number: | 7852663533 |
| Fax Number: | 7852669227 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 4836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |