Search › Wisconsin › 1223G0001X
Daniel Larson, DDS
NPI 1750430088 · on the registry since 2007 · sole proprietor
Practice
- Address
- 317 E Kimberly Ave
Kimberly, WI 54136 - Phone
- (920) 788-2871
- Fax
- (192) 078-8287
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin