Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennie Ivon Godoy

Individual provider Dental Assistant · NPI 1003441130

Jennie Ivon Godoy is a Dental Assistant in Pomona, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1646 Farnam Pl
Pomona, CA 91766-5331
Phone: (909) 242-8543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence RDA94371 (CA)

Record details

NPI number1003441130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2020
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

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