William Kim Larson, DDS

NPI #1164519625 in Wadena, Minnesota

Provider Information

NPI Number: 1164519625
Entity Type: Individual
Name: William Kim Larson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 6, 2006
Last Updated: Jul 16, 2007

Practice Location

Address: 122 COLFAX AVE SW
City: Wadena
State: Minnesota
ZIP Code: 56482-1470
Phone: (218) 631-4525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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