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1689860579
LARRY F MADSEN
SAN LEANDRO, CA
NPI
1689860579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: CA 22906)
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
DR. LARRY F MADSEN DDS
299 JUANA AVE SUITE E
SAN LEANDRO, CA 94577-4838
Phone number: 510-352-2111
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Mailing Address
DR. LARRY F MADSEN DDS
299 JUANA AVE SUITE E
SAN LEANDRO, CA 94577-4838
Phone number: 510-352-2111
Copy
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