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Organization
WADENA FAMILY DENTAL, P. A.
Active
Organization
WADENA FAMILY DENTAL, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KIM LARSON DDS (DENTIST)
(218) 631-4525
Entity
Organization
Contact information
Practice address
122 COLFAX AVE SW, WADENA, MN 56482-1470
(218) 631-4525
(218) 631-3998
Mailing address
122 COLFAX AVE SW, WADENA, MN 56482-1470
(218) 631-4525
(218) 631-3998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12083
MN
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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