Individual
DR. JONATHON GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4003 RUSTIC WOODS DR STE E, KINGWOOD, TX 77339-2600
(281) 360-3630
Mailing address
1615 HERMANN DR UNIT 1234, HOUSTON, TX 77004-7148
(503) 487-7948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39935
TX
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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