BRENT EVANS LARSON

MINNEAPOLIS, MN
NPI1689775835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MN  D9175)
Enumeration Date2006-09-26
Last Update Date2007-08-14
Business Address
-- BRENT EVANS LARSON DDS
515 DELAWARE ST SE ORTHODONTICS CLINIC
MINNEAPOLIS, MN 55455-0357
Phone number: 612-626-6529
Mailing Address
-- BRENT EVANS LARSON DDS
515 DELAWARE ST SE SCHOOL OF DENTISTRY
MINNEAPOLIS, MN 55455-0357
Phone number:
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