Larson, Mark

Larson, Mark is an sole proprietor health care provider with primary practice located at 5441 Saint Marys Cir , Westminster CA 92683-3416. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Larson, Mark can be contacted via phone (714) 892-4258.

Contact Information

Primary practice address
5441 Saint Marys Cir Westminster CA 92683-3416
Phone: (714) 892-4258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25569 California

Profile Details

NPI number 1538524905
LBN Legal business name Larson, Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2015
Last updated Dec 29th, 2015 - about 11 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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