Individual
DOMENIC GODICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2651 NY-40, GREENWICH, NY 12834
(518) 962-9333
Mailing address
2651 NY-40, GREENWICH, NY 12834
(518) 692-9333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064211
NY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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