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Dr. Larry F Madsen, DDS
Periodontist in San Leandro, California
NPI 1689860579

Larry F Madsen is a Periodontist based in San Leandro, CA and is specialized in Periodontics. Larry F Madsen practices in San Leandro, CA and has the professional credentials of DDS. The NPI Number for Larry F Madsen is 1689860579 and holds a License No. 22906 (California).

The current practice location address for Larry F Madsen is 299 Juana Ave, San Leandro, CA and can be reached out via phone at 510-352-2111.

Location: 299 Juana Ave, San Leandro, CA, 94577-4838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689860579
Provider Name
Larry F Madsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
299 Juana Ave, San Leandro, CA, 94577-4838
Phone Number
510-352-2111
Fax Number
Provider Enumeration Date
09/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22906 01 CA DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
299 Juana Ave
City
San Leandro
State
California
Zip
94577-4838
Phone Number
510-352-2111
Fax Number
person
Provider Business Mailing Address Details
Address
299 Juana Ave
City
San Leandro
State
California
Zip
94577-4838
Phone Number
510-352-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
22906 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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