Larry D. Knutson, D.d.s., P.a.

NPI #1720207533 in Longview, Texas

Provider Information

NPI Number: 1720207533
Entity Type: Organization
Organization Name: Larry D. Knutson, D.d.s., P.a.
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2901 BILL OWENS PKWY
City: Longview
State: Texas
ZIP Code: 75605-1601
Phone: (903) 759-0765

Authorized Official

Name: DR. LARRY DEAN KNUTSON, D.D.S.
Title: OWNER
Phone: (903) 759-0765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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