Organization
ALAN A GODEL & JUSTIN P HANNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN A GODEL DDS (OWNER)
(704) 218-2500
Entity
Organization
Contact information
Practice address
1228 W ROOSEVELT BLVD, MONROE, NC 28110-3383
(704) 218-2500
Mailing address
1228 W ROOSEVELT BLVD, MONROE, NC 28110-3383
(704) 218-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7564
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9056
NC
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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