Individual
DR. SCOTT JOSEPH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
49 SUMMIT AVE. E., BLACKDUCK, MN 56630-9727
(218) 835-4227
Mailing address
PO BOX 308, BLACKDUCK, MN 56630-0308
(218) 835-4227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12251
MN
Other
Enumeration date
12/29/2006
Last updated
10/25/2012
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