Individual
DANIEL A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 DELAWARE ST NE, 7TH FLOOR MOOS TOWER, MINNEAPOLIS, MN 55455-0329
(612) 624-8600
Mailing address
515 DELAWARE ST SE, SCHOOL OF DENTISTRY, MINNEAPOLIS, MN 55455-0357
(612) 624-8600
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6569
MN
Other
Enumeration date
11/17/2006
Last updated
08/14/2007
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