Excellence in Dentistry PA
NPI #1881602266 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1881602266
- Entity Type
- Organization
- Organization Name
- Excellence in Dentistry PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Dec 17, 2010
Practice Location
- Address
- 2515 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7516
- Phone
- (208) 529-4321
Authorized Official
- Name
- DR. DUANE KENT GODFREY, DDS
- Title
- DENTIST
- Phone
- (208) 529-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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