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1821201518
GLENN P GODART
NEWARK, NJ
NPI
1821201518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI01155300)
Enumeration Date
2007-05-08
Last Update Date
2013-08-29
Business Address
Dr. GLENN P GODART DMD
110 BERGEN ST
NEWARK, NJ 07101-1709
Phone number: 973-972-4615
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Mailing Address
Dr. GLENN P GODART DMD
88 SHERWOOD RD
RIDGEWOOD, NJ 07450-1320
Phone number: 201-447-4894
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