| NPI | 1093922700 |
|---|---|
| Doing Business As | GLENN P GODART |
| Entity Type | Organization |
| Authorized Contact | GLENN P GODART Owner 201-445-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI01155300) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |