Individual
DR. CHAD EVANS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1705 BROADWAY AVE S STE A, ROCHESTER, MN 55904-7973
(507) 288-4427
(507) 288-8497
Mailing address
1705 BROADWAY AVE S STE A, ROCHESTER, MN 55904-7973
(507) 288-4427
(507) 288-8497
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13231
MN
Other
Enumeration date
07/30/2013
Last updated
05/27/2021
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