| NPI | 1740522333 |
|---|---|
| Doing Business As | GODEL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BLAKE CARSON KINGSBURY Dentist 704-854-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |