Individual
DR. THOMAS LOUIS GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3033 W LAYTON AVE, SUITE 203, GREENFIELD, WI 53221-2628
(414) 325-9300
Mailing address
2600 N MAYFAIR RD, STE 240, WAUWATOSA, WI 53226-1306
(414) 258-1500
(414) 258-1500
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5878
WI
Other
Enumeration date
04/18/2007
Last updated
06/16/2016
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