Larson, Michael Joe

Larson, Michael Joe is an individual health care provider with primary practice located at 30940 Stagecoach Blvd Ste E250, Evergreen CO 80439-7984. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Larson, Michael Joe can be contacted via phone (303) 674-6777.

Contact Information

Primary practice address
30940 Stagecoach Blvd Ste E250 Evergreen CO 80439-7984
Phone: (303) 674-6777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X H-D-1-04331 Colorado

Profile Details

NPI number 1093711848
LBN Legal business name Larson, Michael Joe
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
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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