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1215376504
MATTHEW P GODFREY
POCATELLO, ID
NPI
1215376504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D4490)
Enumeration Date
2013-06-19
Last Update Date
2016-08-17
Business Address
DR. MATTHEW P GODFREY D.D.S.
1598 DELPHIC WAY
POCATELLO, ID 83201-2232
Phone number: 208-637-1300
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Mailing Address
DR. MATTHEW P GODFREY D.D.S.
1598 DELPHIC WAY
POCATELLO, ID 83201-2232
Phone number: 208-637-1300
Copy
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