Individual provider · Type 1 NPI
Daniel A. Larson
Oral and Maxillofacial Surgery (Dentist) · Minneapolis, MN
Practice location
515 Delaware St NE, 7th Floor Moos Tower
Minneapolis, MN 55455-0329
Mailing address
515 Delaware St SE, School Of Dentistry
Minneapolis, MN 55455-0357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D6569 (MN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1740353564
Daniel A. Larson's National Provider Identifier is 1740353564, issued on Nov 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 14, 2007.