Individual
MS. MALLORY ELIZABETH GODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1359 MAIN RD, TIVERTON, RI 02878-4426
(401) 624-9177
(401) 624-9233
Mailing address
76 GARFIELD ST, NEWPORT, RI 02840-1344
(717) 858-8253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03602
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
05/23/2017
Last updated
06/13/2022
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