| Larson Dental | |
|
1632 Washington St Ne Minneapolis MN 55413-1336 | |
| (612) 789-2853 | |
| (612) 789-9413 |
| Full Name | Larson Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1632 Washington St Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Susan Marie Sodd (OFFICE MANAGER) |
| Authorized Official Contact | 6127892853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larson Dental 1632 Washington St Ne Minneapolis MN 55413-1336 Ph: (612) 789-2853 | Larson Dental 1632 Washington St Ne Minneapolis MN 55413-1336 Ph: (612) 789-2853 |
| NPI Number | 1437267598 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437267598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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