DR. Daniel Allen Larson, DDS

NPI #1750430088 in Kimberly, Wisconsin

Provider Information

NPI Number
1750430088
Entity Type
Individual
Name
DR. Daniel Allen Larson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
317 E KIMBERLY AVE
ZIP Code
54136-1406
Phone
(920) 788-2871

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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