DR. Michael Wynn Godfrey, DMD

NPI #1275605933 in Pocatello, Idaho

Provider Information

NPI Number
1275605933
Entity Type
Individual
Name
DR. Michael Wynn Godfrey, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Nov 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1980 BIRDIE THOMPSON DR
State
Idaho
ZIP Code
83201-2755
Phone
(208) 233-8750

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