Larson, Lara Inga

Larson, Lara Inga is an individual health care provider with primary practice located at 96Th Dental Squadron 307 Boatner Avenue, Eglin Afb FL 32542. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Larson, Lara Inga can be contacted via phone (850) 883-8052.

Contact Information

Primary practice address
96Th Dental Squadron 307 Boatner Avenue Eglin Afb FL 32542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5846 Nebraska

Profile Details

NPI number 1346237864
LBN Legal business name Larson, Lara Inga
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Aug 12th, 2011 - about 15 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.

Request for update

Popular Providers