Larson, Thomas Hartman
Larson, Thomas Hartman is an individual health care provider with primary practice located at 7780 N Fresno St Suite 105, Fresno CA 93720-2413. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Larson, Thomas Hartman can be contacted via phone (559) 431-9701.Contact Information
Primary practice address
7780 N Fresno St Suite 105
Fresno CA 93720-2413
Phone: (559) 431-9701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 25928 | California |
Profile Details
| NPI number | 1811068109 |
|---|---|
| LBN Legal business name | Larson, Thomas Hartman |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811068109 | NPPES |
| California | Other | B 25928-01 | MEDI-CAL |
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