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Individual

DR. KYRA RHODES LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
15541W HWY 77 EAST, HAYWARD, WI 54843
(715) 634-6776
(715) 634-5859
Mailing address
711 E GATES ST, RICE LAKE, WI 54868-2548
(715) 864-9183

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6412-015
WI

Other

Enumeration date
07/15/2009
Last updated
09/06/2011
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