Park River Dental, PC
NPI #1174666119 in Park River, North Dakota
Provider Information
- NPI Number
- 1174666119
- Entity Type
- Organization
- Organization Name
- Park River Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Jun 3, 2014
Practice Location
- Address
- 418 BRIGGS AVENUE
- City
- Park River
- State
- North Dakota
- ZIP Code
- 58270-0662
- Phone
- (701) 284-6131
Authorized Official
- Name
- DR. BRIAN JAMES LARSON, DDS
- Title
- OWNER/DENTIST PRESIDENT
- Phone
- (701) 284-6131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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