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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL LARSEN

Active

SAMUEL LARSEN is a Dental Assistant healthcare provider located in SAN DIEGO, California. NPI 1437776606 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · SAN DIEGO, CA

Registration Details

NPI Number
1437776606
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2020 (6.148222703036 yrs)
Last Updated
Feb 6, 2026
Licenses
D160946710 (WA)
112429 (CA)

Practice Information

Address
4403 MARLBOROUGH AVE
SAN DIEGO, CA, 921164727
Browse CA providers · Browse ZIP 92116
Phone
9524869759
Primary Specialty
Dental Assistant
126800000X
Additional Specialty
Dentist

Other Dental Assistant Providers in SAN DIEGO, CA

Name Credential NPI
MR. ROGELIO MARTIN TURNER RDA 1043671100
ANDREW WENTWORTH BLODGETT 1992395941
MR. KYLE LALANNE MCINTIRE PROPHY TECH 1649126137
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.