Individual
DR. THOMAS DEAN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 MORRIS HALL, MANKATO, MN 56001-6043
(507) 389-2147
Mailing address
3 MORRIS HALL, MANKATO, MN 56001-6043
(507) 389-2147
(507) 389-5850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8361
MN
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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