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Organization
LARRY D. KNUTSON, D.D.S., P.A.
Active
Organization
LARRY D. KNUTSON, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DEAN KNUTSON D.D.S. (OWNER)
(903) 759-0765
Entity
Organization
Contact information
Practice address
2901 BILL OWENS PKWY, LONGVIEW, TX 75605-1601
(903) 759-0765
(903) 759-0016
Mailing address
2901 BILL OWENS PKWY, LONGVIEW, TX 75605-1601
(903) 759-0765
(903) 759-0016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11004
TX
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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