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Organization
DWIGHT J. GODDARD, M.D., INC.
Active
Organization
DWIGHT J. GODDARD, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE VELA (CONTRACTS MANAGER)
(909) 344-8934
Entity
Organization
Contact information
Practice address
9190 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730-5431
(909) 981-0989
(909) 948-9110
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 752-7815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
09/18/2024
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