MRS. Perri Ann Polman Larson

NPI #1174693865 in Lakeville, Minnesota

Provider Information

NPI Number: 1174693865
Entity Type: Individual
Name: MRS. Perri Ann Polman Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Nov 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17599 KENWOOD TRAIL W
Address 2: STE 7
City: Lakeville
State: Minnesota
ZIP Code: 55044
Phone: (952) 435-9737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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