Individual provider · Type 1 NPI

Brent Evans Larson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Minneapolis, MN

NPI number 1689775835 Active

Practice location

515 Delaware St SE, Orthodontics Clinic
Minneapolis, MN 55455-0357

Call (612) 626-6529 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD9175 (MN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1689775835

Brent Evans Larson, DDS's National Provider Identifier is 1689775835, issued on Sep 26, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 14, 2007.