Larson, Ethan James
Larson, Ethan James is an sole proprietor health care provider with primary practice located at 4365 E Pecos Rd Ste 136 , Gilbert AZ 85295-8053. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Larson, Ethan James can be contacted via phone (480) 712-9595.Contact Information
Primary practice address
4365 E Pecos Rd Ste 136
Gilbert AZ 85295-8053
Phone: (480) 712-9595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D011332 | Arizona |
Profile Details
| NPI number | 1083975759 |
|---|---|
| LBN Legal business name | Larson, Ethan James |
| Credentials | D.M.D. M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2012 |
| Last updated | Nov 15th, 2024 - about 2 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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