Bradford, Mark Larsen
Bradford, Mark Larsen is an sole proprietor health care provider with primary practice located at 2545 Ceanothus Ave Ste 138, Chico CA 95973-7611. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bradford, Mark Larsen can be contacted via phone (530) 342-7974.Contact Information
Primary practice address
2545 Ceanothus Ave Ste 138
Chico CA 95973-7611
Phone: (530) 342-7974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 36646 | California |
Profile Details
| NPI number | 1477555613 |
|---|---|
| LBN Legal business name | Bradford, Mark Larsen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 11th, 2007 - about 17 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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