DR. Stephanie Larson, D.D.S.

NPI #1528184660 in Wyoming, Minnesota

Provider Information

NPI Number: 1528184660
Entity Type: Individual
Name: DR. Stephanie Larson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 26357 FOREST BLVD
Address 2: STE 2
City: Wyoming
State: Minnesota
ZIP Code: 55092-8353
Phone: (651) 462-7017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Wyoming Dental LLC	Dentist	Wyoming	AI Deep Dive

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