Individual
DR. ROBERT FRANK LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 4TH AVE NW, ROSEAU, MN 56751-1033
(218) 463-2553
Mailing address
201 4TH AVE NW, PO BOX 70, ROSEAU, MN 56751-1033
(218) 463-2553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8472
MN
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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