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Individual

DR. KENNETH CRAIG LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2860 PIEDMONT AVE, DULUTH, MN 55811-2938
(218) 722-0823
(218) 722-7635
Mailing address
2860 PIEDMONT AVE, DULUTH, MN 55811-2938
(218) 722-0823
(218) 722-7635

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9183
MN

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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