# ANDREA GODAWA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Dentistry Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871203455
- **Authorized official:** ANDREA GODAWA DDS (DENTIST/OWNER)
- **Authorized official phone:** (269) 429-1515

## Contact information

- **Practice address:** 3915 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
- **Practice address phone:** (269) 429-1515
- **Mailing address:** 3915 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
- **Mailing address phone:** (269) 429-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 12/05/2022