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Individual

DR. BENJAMIN DAVID LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6601 LYNDALE AVE S, RICHFIELD, MN 55423-2477
(612) 866-1234
Mailing address
201 MELBOURNE AVE SE, MINNEAPOLIS, MN 55414-3517

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13581
MN

Other

Enumeration date
07/01/2015
Last updated
07/01/2015
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