| NPI | 1437267598 |
|---|---|
| Other Name | LARSON DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE SODD Office Manager 612-789-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |