| Larry D. Knutson, D.d.s., P.a. | |
|
2901 Bill Owens Pkwy Longview TX 75605-1601 | |
| (903) 759-0765 | |
| (903) 759-0016 |
| Full Name | Larry D. Knutson, D.d.s., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 2901 Bill Owens Pkwy, Longview, Texas |
| Authorized Official Name and Position | Larry Dean Knutson (OWNER) |
| Authorized Official Contact | 9037590765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D. Knutson, D.d.s., P.a. 2901 Bill Owens Pkwy Longview TX 75605-1601 Ph: (903) 759-0765 | Larry D. Knutson, D.d.s., P.a. 2901 Bill Owens Pkwy Longview TX 75605-1601 Ph: (903) 759-0765 |
| NPI Number | 1720207533 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720207533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11004 (Texas) | Primary |
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