Individual
DR. BENJAMIN GODDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
115 E 57TH ST, SUITE 1520, NEW YORK, NY 10022-2049
(212) 750-3478
(212) 750-8929
Mailing address
100 BLEECKER ST, APT.#5E, NEW YORK, NY 10012-2202
(212) 750-3478
(212) 750-8929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040786-1
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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