Madsen, Larry F

Madsen, Larry F is an sole proprietor health care provider with primary practice located at 299 Juana Ave Suite E, San Leandro CA 94577-4838. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Madsen, Larry F can be contacted via phone (510) 352-2111.

Contact Information

Primary practice address
299 Juana Ave Suite E San Leandro CA 94577-4838
Phone: (510) 352-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22906 California

Profile Details

NPI number 1689860579
LBN Legal business name Madsen, Larry F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689860579 NPPES
California Other 22906 DENTAL LICENSE NUMBER

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