Kim F Larson

NPI #1437267598 in Minneapolis, Minnesota

Provider Information

NPI Number: 1437267598
Entity Type: Organization
Organization Name: Kim F Larson
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1632 WASHINGTON ST NE
City: Minneapolis
State: Minnesota
ZIP Code: 55413-1336
Phone: (612) 789-2853

Authorized Official

Name: MS. SUSAN MARIE SODD
Title: OFFICE MANAGER
Phone: (612) 789-2853

Specialties & Taxonomy Codes

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

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