Larson, Brandy Leeann

Larson, Brandy Leeann is an individual health care provider with primary practice located at 425 7Th St Nw Cass Lake Indian Hospital, Cass Lake MN 56633-3360. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Larson, Brandy Leeann can be contacted via phone (218) 335-3234.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake Indian Hospital Cass Lake MN 56633-3360
Phone: (218) 335-3234
Fax: (218) 335-3368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12356 Minnesota
Dental Providers / General Practice 1223G0001X Michigan

Profile Details

NPI number 1750450227
LBN Legal business name Larson, Brandy Leeann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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