Larson, Dallin

Larson, Dallin is an individual health care provider with primary practice located at 3240 E Louise Dr , Meridian ID 83642-5107. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Larson, Dallin can be contacted via phone (208) 898-8866.

Contact Information

Primary practice address
3240 E Louise Dr Meridian ID 83642-5107
Phone: (208) 898-8866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D-5309-EN Idaho

Profile Details

NPI number 1790288306
LBN Legal business name Larson, Dallin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2018
Last updated Jul 1st, 2021 - about 3 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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