Hawksford-Larson Dental Care, LLC

NPI #1700954047 in Hayward, Wisconsin

Provider Information

NPI Number: 1700954047
Entity Type: Organization
Organization Name: Hawksford-Larson Dental Care, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 4, 2006
Last Updated: Sep 20, 2011

Practice Location

Address: 15541W HIGHWAY 77 E
City: Hayward
State: Wisconsin
ZIP Code: 54843
Phone: (715) 634-6776

Authorized Official

Name: DR. KAY E HAWKSFORD
Title: OWNER
Phone: (715) 634-6776

Specialties & Taxonomy Codes

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

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