Renee Larson, ADT Valid NPI

Individual provider · Dental Therapist · Marshall, MN

NPI

1467985010

Type

Individual (Type 1)

Primary specialty

Dental Therapist

Specialty group

Dental Providers

Taxonomy code

125J00000X

License number

DT53 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2017-04-10

Last updated

2026-05-08