Individual
DR. JERRY WAYNE GODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
TX8947
TX
Other
Enumeration date
04/13/2007
Last updated
10/05/2016
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