DR. Glenn P Godart, DMD

NPI #1821201518 in Newark, New Jersey

Provider Information

NPI Number: 1821201518
Entity Type: Individual
Name: DR. Glenn P Godart, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 8, 2007
Last Updated: Aug 29, 2013

Practice Location

Address: 110 BERGEN ST
City: Newark
State: New Jersey
ZIP Code: 07101-1709
Phone: (973) 972-4615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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