Organization
LARRY D. KNUTSON, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DEAN KNUTSON D.D.S. (OWNER)
(903) 759-0765
Entity
Organization
Contact information
Practice address
2901 BILL OWENS PKWY, LONGVIEW, TX 75605-1601
(903) 759-0765
(903) 759-0016
Mailing address
2901 BILL OWENS PKWY, LONGVIEW, TX 75605-1601
(903) 759-0765
(903) 759-0016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11004
TX
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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