RONALD FULTON GODAT

KINGSPORT, TN
NPI1558588848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: TN  DS2061)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
-- RONALD FULTON GODAT D.D.S., M.S.
210 LOCKPORT CIR
KINGSPORT, TN 37664-5278
Phone number: 423-239-3993
Mailing Address
-- RONALD FULTON GODAT D.D.S., M.S.
210 LOCKPORT CIR
KINGSPORT, TN 37664-5278
Phone number: 423-239-3993
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