DR. Matthew P Godfrey, D.D.S.

NPI #1215376504 in Pocatello, Idaho

Provider Information

NPI Number: 1215376504
Entity Type: Individual
Name: DR. Matthew P Godfrey, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 19, 2013
Last Updated: Aug 17, 2016

Practice Location

Address: 1598 DELPHIC WAY
City: Pocatello
State: Idaho
ZIP Code: 83201-2232
Phone: (208) 637-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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