Larson, Judd Robert

Larson, Judd Robert is an sole proprietor health care provider with primary practice located at 57 N 2Nd St , Central Point OR 97502-2017. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Larson, Judd Robert can be contacted via phone (541) 664-1406.

Contact Information

Primary practice address
57 N 2Nd St Central Point OR 97502-2017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7909 Oregon

Profile Details

NPI number 1548330020
LBN Legal business name Larson, Judd Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 19 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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