DR. Larry E Goodreau, DDS
NPI #1104024975 in San Marino, California
Provider Information
- NPI Number
- 1104024975
- Entity Type
- Individual
- Name
- DR. Larry E Goodreau, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jul 3, 2007
- Last Updated
- Dec 21, 2009
Practice Location
- Address
- 825 HUNTINGTON DR
- City
- San Marino
- State
- California
- ZIP Code
- 91108-1824
- Phone
- (626) 441-2231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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