NPI | 1881864049 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KIM LARSON Dentist 218-631-4525 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN d12083) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-04 |