Individual
DR. MAXIM GODKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 FEDERAL CITY RD # 104B, LAWRENCEVILLE, NJ 08648-1664
(609) 718-7997
(888) 575-1408
Mailing address
561 MONMOUTH RD, ROUTE 537, WRIGHTSTOWN, NJ 08562-2125
(609) 758-2244
(609) 758-6773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02643700
NJ
Other
Enumeration date
08/09/2016
Last updated
07/25/2019
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