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Organization

GODLEY FAMILY ORTHODONTICS LLC

Active
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Organization

GODLEY FAMILY ORTHODONTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE N GODLEY DDS, MS (OWNER / ORTHODONTIST)
(765) 425-1321
Entity
Organization

Contact information

Practice address
12036 N MICHIGAN RD STE 100, ZIONSVILLE, IN 46077-8782
(317) 913-2828
Mailing address
12036 N MICHIGAN RD STE 100, ZIONSVILLE, IN 46077-8782
(317) 913-2828

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—

Other

Enumeration date
08/26/2021
Last updated
08/26/2021
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