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1174691836
KENNETH CRAIG LARSON
DULUTH, MN
NPI
1174691836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN 9183)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Dr. KENNETH CRAIG LARSON DDS
2860 PIEDMONT AVE
DULUTH, MN 55811-2938
Phone number: 218-722-0823
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Mailing Address
Dr. KENNETH CRAIG LARSON DDS
2860 PIEDMONT AVE
DULUTH, MN 55811-2938
Phone number: 218-722-0823
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