G. William Godfrey, DDS Lee R. Reddish, DDS Pllc

NPI #1851566392 in Pocatello, Idaho

Provider Information

NPI Number
1851566392
Entity Type
Organization
Organization Name
G. William Godfrey, DDS Lee R. Reddish, DDS Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 25, 2008
Last Updated
Apr 25, 2008

Practice Location

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

Authorized Official

Name
DR. LEE R REDDISH, DDS
Title
PART-OWNER DENTIST
Phone
(208) 233-8750

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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