Bruce H Godderidge, DMD

NPI #1053436816 in Smithfield, Utah

Provider Information

NPI Number: 1053436816
Entity Type: Individual
Name: Bruce H Godderidge, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 291 SOUTH MAIN
Address 2: SUITE A
City: Smithfield
State: Utah
ZIP Code: 84335
Phone: (435) 563-6213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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