Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY E GOODREAU, DDS
ActiveDR. LARRY E GOODREAU, DDS is a Dentist healthcare provider located in SAN MARINO, California. NPI 1104024975 is currently active in the NPPES registry. Verify at CMS.
Dentist · SAN MARINO, CA
Registration Details
- NPI Number
- 1104024975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2007 (18.933976154169 yrs)
- Last Updated
- Dec 21, 2009
- License
-
20532 (CA)
Practice Information
- Address
-
825 HUNTINGTON DRSAN MARINO, CA, 911081824Browse CA providers · Browse ZIP 91108
- Phone
- 6264412231
- Fax
- 6264413024
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SAN MARINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BADR FADEL BARSOUM | DENTIST | 1558340976 |
| DR. BRANDON V. CUCCIA | DDS | 1609897362 |
| DR. EUNSUN LEW | DDS | 1710095344 |
| DR. FARZANEH S. YASSAMY | — | 1942327291 |
| DANIEL CHEE | — | 1588383517 |
| MARY HSU | DDS | 1851257471 |
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.