Larson, Gerald Duane

Larson, Gerald Duane is an individual health care provider with primary practice located at 418 Briggs Ave S , Park River ND 58270-0662. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Larson, Gerald Duane can be contacted via phone (701) 284-6131.

Contact Information

Primary practice address
418 Briggs Ave S Park River ND 58270-0662
Fax: (701) 284-6901
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1355 North Dakota

Profile Details

NPI number 1720291701
LBN Legal business name Larson, Gerald Duane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 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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