Larson, Clark David

Larson, Clark David is an individual health care provider with primary practice located at 270 E Hunt Hwy Ste 14 , San Tan Valley AZ 85143-4964. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Larson, Clark David can be contacted via phone (480) 888-2271.

Contact Information

Primary practice address
270 E Hunt Hwy Ste 14 San Tan Valley AZ 85143-4964
Phone: (480) 888-2271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25454 Texas
Dental Providers / Dentist 122300000X 8141 Arizona

Profile Details

NPI number 1326368432
LBN Legal business name Larson, Clark David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Sep 24th, 2020 - about 4 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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