Larson, Brent Evans

Larson, Brent Evans is an individual health care provider with primary practice located at 515 Delaware St Se Orthodontics Clinic, Minneapolis MN 55455-0357. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Larson, Brent Evans can be contacted via phone (612) 626-6529.

Contact Information

Primary practice address
515 Delaware St Se Orthodontics Clinic Minneapolis MN 55455-0357
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D9175 Minnesota

Profile Details

NPI number 1689775835
LBN Legal business name Larson, Brent Evans
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 14th, 2007 - about 18 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.

Request for update

Popular Providers