Individual
DR. WILLIAM RICHARD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
516 DELAWARE ST SE, 7TH FLOOR PWB, MINNEAPOLIS, MN 55455-0356
(612) 626-3233
Mailing address
18366 JAEGER PATH, LAKEVILLE, MN 55044-6426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10479
MN
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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