Individual
CHERYL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3600 TOWER AVE, SUPERIOR, WI 54880-5589
(715) 394-5411
(715) 392-5086
Mailing address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 628-7035
(218) 722-6239
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10460
WI
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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