Individual provider · Type 1 NPI
Samuel Larsen
Dental Assistant · San Diego, CA
Practice location
4403 Marlborough Ave
San Diego, CA 92116-4727
Mailing address
5225 50th Ave NE Unit 207
Seattle, WA 98105-2872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Assistant Primary | 126800000X | D160946710 (WA) |
| Dentist | 122300000X | 112429 (CA) |
Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…
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About NPI 1437776606
Samuel Larsen's National Provider Identifier is 1437776606, issued on Jul 2, 2020. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in San Diego, CA. The record was last updated on Feb 6, 2026.