Raymond Walter Larsen in Placerville - Dentist

Raymond Walter Larsen - NPI 1740486794

Raymond Walter Larsen is a Dentist in Placerville, California. Raymond Walter Larsen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Raymond Walter Larsen is 1740486794. The last update date is 2007-07-08.

Raymond Walter Larsen's current location address is 1004 Fowler Way, Placerville, California. You can contact this provider via phone number 5306223050 and fax number 5306227624. The mailing address for Raymond Walter Larsen is 1004 Fowler Way, Placerville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond Walter Larsen
Address 1004 Fowler Way, Placerville, California
Phone Number 5306223050
Fax Number 5306227624
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1740486794
Provider Enumeration Date 2007-06-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1004 Fowler Way
City Placerville
State California (CA)
Post Code 95667
Phone Number 5306223050
Fax Number 5306227624

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 30179
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Raymond Walter Larsen

What is the unique 10-digit identifier code issued to Raymond Walter Larsen by the Centers for Medicare & Medicaid Services?

The Raymond Walter Larsen has been assigned the NPI (National Provider Identifier) 1740486794 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Raymond Walter Larsen is geographically located?

The Raymond Walter Larsen is physically situated at the following location: 1004 Fowler Way, Placerville, CA, 95667.

What is Raymond Walter Larsen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Raymond Walter Larsen's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740486794 to Raymond Walter Larsen?

The Raymond Walter Larsen received its 1740486794 assignment from the Centers for Medicare & Medicaid Services on 2007-06-26.

As of what date was the information regarding Raymond Walter Larsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Raymond Walter Larsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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