Provider Demographics
NPI:1255445029
Name:KUHL, LARRY VAN (DDS)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:VAN
Last Name:KUHL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19507 22ND PL NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-2371
Mailing Address - Country:US
Mailing Address - Phone:206-818-0151
Mailing Address - Fax:
Practice Address - Street 1:19507 22ND PL NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-2371
Practice Address - Country:US
Practice Address - Phone:206-818-0151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000091971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice