Mr. Chris Larson
Oral & Maxillofacial Surgeon
12777 Valley View St #121
Garden Grove
, California 92845
Mr. Chris Larson
Oral & Maxillofacial Surgeon
12777 Valley View St #121
Garden Grove
, California 92845
(714) 897-0505
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Mr. Chris Larson
- 12777 Valley View St #121
- Garden Grove, CA
- Zip : 92845
- Fax : (714) 897-0505
- Phone : (714) 897-3543
Second Address
- Mr. Chris Larson
- 12777 Valley View St #121
- Garden Grove, CA
- Zip : 92845
- Fax : (714) 897-0505
- Phone : (714) 897-3543
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 31051 | CA |
National Provider Identifier
| NPI | 1245376961 |
|---|---|
| Provider Name | Mr. Chris Larson |
| First Address | Garden Grove, CA 92845 |
| Second Address | Garden Grove, CA 92845 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.