Thomas Hansen Godfrey, DMD

NPI #1063844710 in Las Vegas, Nevada

Provider Information

NPI Number: 1063844710
Entity Type: Individual
Name: Thomas Hansen Godfrey, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 5, 2013
Last Updated: Jul 21, 2022

Practice Location

Address: 1580 E DESERT INN RD
City: Las Vegas
State: Nevada
ZIP Code: 89169-2548
Phone: (702) 466-2507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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