Larson, Tanner Christopher
Larson, Tanner Christopher is an sole proprietor health care provider with primary practice located at 1093 Hancock Rd , Bullhead City AZ 86442-5904. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Larson, Tanner Christopher can be contacted via phone (928) 758-5588.Contact Information
Primary practice address
1093 Hancock Rd
Bullhead City AZ 86442-5904
Phone: (928) 758-5588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D010330 | Arizona |
Profile Details
| NPI number | 1003474966 |
|---|---|
| LBN Legal business name | Larson, Tanner Christopher |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2019 |
| Last updated | Jun 4th, 2019 - about 7 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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