MICHAEL WYNN GODFREY

POCATELLO, ID
NPI1275605933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3901)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. MICHAEL WYNN GODFREY DMD
1980 BIRDIE THOMPSON DR
POCATELLO, ID 83201-2755
Phone number: 208-233-8750
Mailing Address
Dr. MICHAEL WYNN GODFREY DMD
1980 BIRDIE THOMPSON DR
POCATELLO, ID 83201-2755
Phone number: 208-233-8750
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