Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Larsen

Individual provider Dental Assistant · NPI 1437776606

Samuel Larsen is a Dental Assistant in San Diego, California. Licensed in California and Washington. Registered with an NPI since 2020.

Licensed in
CA, WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4403 Marlborough Ave
San Diego, CA 92116-4727
Phone: (952) 486-9759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence D160946710 (WA)
Dentist Taxonomy 122300000X · Licence 112429 (CA)

Record details

NPI number1437776606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

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