Thomas Dana Larson DDS

NPI 1962503128 - Dentist - 122300000X

NPI Details
NPI 1962503128
Gender Male
Enumeration Date 09/26/2006
Last Updated 08/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
516 DELAWARE ST SE
FACULTY PRACTICE CLINIC
MINNEAPOLIS MN, 55455-0356, US
Phone (612) 626-6529
Fax
Business Location
515 DELAWARE ST SE
SCHOOL OF DENTISTRY
MINNEAPOLIS MN, 55455-0357, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 7567
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According to our database, Thomas Dana Larson DDS NPI is 1962503128, taxonomy code is 122300000X and license number is 7567, license state is located at Minnesota. Thomas Dana Larson DDS physically located at 516 Delaware St Se, Minneapolis MN, 55455-0356. NPI Number Thomas Dana Larson DDS has the Individual type.

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1962503128 NPI number is provided on an as is basis without warranty of any kind. 1962503128 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Dana Larson DDS are for informational purposes only.