Individual
SAMUEL EMMANUEL LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1790 7TH ST E, SAINT PAUL, MN 55119-3419
(651) 735-0595
Mailing address
11585 QUAIL AVE N, STILLWATER, MN 55082-4791
(651) 434-7247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15427
MN
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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