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Dr. Daniel Allen Larson, DDS
General Practice Dentistry in Kimberly, Wisconsin
NPI 1750430088

Daniel Allen Larson is a General Practice Dentistry based in Kimberly, WI and is specialized in General Practice. Daniel Allen Larson practices in Kimberly, WI and has the professional credentials of DDS. The NPI Number for Daniel Allen Larson is 1750430088 and holds a License No. 5001350 (Wisconsin).

The current practice location address for Daniel Allen Larson is 317 E Kimberly Ave, Kimberly, WI and can be reached out via phone at 920-788-2871 and via fax at 192-078-8287.

Location: 317 E Kimberly Ave, Kimberly, WI, 54136-1406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750430088
Provider Name
Daniel Allen Larson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
317 E Kimberly Ave, Kimberly, WI, 54136-1406
Phone Number
920-788-2871
Fax Number
192-078-8287
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5001350 01 WI STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
317 E Kimberly Ave
City
Kimberly
State
Wisconsin
Zip
54136-1406
Phone Number
920-788-2871
Fax Number
192-078-8287
person
Provider Business Mailing Address Details
Address
317 E Kimberly Ave
City
Kimberly
State
Wisconsin
Zip
54136-1406
Phone Number
920-788-2871
Fax Number
192-078-8287
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5001350 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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