Larson, Thomas Hartman

Larson, Thomas Hartman is an individual health care provider with primary practice located at 7780 N Fresno St Suite 105, Fresno CA 93720-2413. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Larson, Thomas Hartman can be contacted via phone (559) 431-9701.

Contact Information

Primary practice address
7780 N Fresno St Suite 105 Fresno CA 93720-2413
Phone: (559) 431-9701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 25928 California

Profile Details

NPI number 1811068109
LBN Legal business name Larson, Thomas Hartman
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811068109 NPPES
California Other B 25928-01 MEDI-CAL

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