Individual
DR. WILLIAM KEAT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
211 SOUTH 5TH STREET, MOORHEAD, MN 56560
(218) 233-0429
Mailing address
211 SOUTH 5TH STREET, MOORHEAD, MN 56560
(218) 233-0429
(218) 291-1640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9381
MN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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