| NPI | 1598157364 |
|---|---|
| Doing Business As | GODLEY STATION DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW J ALLEN Owner 912-748-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN012627) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |