Saint Anthony Village Dentistry
NPI #1528535788 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1528535788
- Entity Type
- Organization
- Organization Name
- Saint Anthony Village Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 25, 2018
- Last Updated
- Oct 25, 2018
Practice Location
- Address
- 2525 33RD AVE NE
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55418-1539
- Phone
- (612) 781-9270
Authorized Official
- Name
- DR. CORY JOHN LARSON, DDS
- Title
- DENTIST
- Phone
- (612) 789-2853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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