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Individual
MICHAEL GODINEZ
Active
Individual
MICHAEL GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12358028-9921
UT
1223G0001X
General Practice Dentistry
Primary
12358028-9921
UT
Other
Enumeration date
07/28/2021
Last updated
06/23/2026
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