Individual provider · Type 1 NPI

Larry E. Goodreau, DDS

Dentist · San Marino, CA

NPI number 1104024975 Active

Practice location

825 Huntington Dr
San Marino, CA 91108-1824

Fax (626) 441-3024

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	20532 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104024975

Larry E. Goodreau, DDS's National Provider Identifier is 1104024975, issued on Jul 3, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Marino, CA. The record was last updated on Dec 21, 2009.