Larson, Kelly James

Larson, Kelly James is an sole proprietor health care provider with primary practice located at 8086 E Florentine Rd , Prescott Valley AZ 86314-9422. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Larson, Kelly James can be contacted via phone (928) 772-8128.

Contact Information

Primary practice address
8086 E Florentine Rd Prescott Valley AZ 86314-9422
Phone: (928) 772-8128
Fax: (928) 772-2369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D4296 Arizona

Profile Details

NPI number 1346310414
LBN Legal business name Larson, Kelly James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 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.

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