Individual
DR. ALLEN EDWARD GODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23100 CHERRY HILL ST, SUITE 3, DEARBORN, MI 48124-1493
(313) 274-6404
(313) 562-6969
Mailing address
23100 CHERRY HILL ST, SUITE 3, DEARBORN, MI 48124-1493
(313) 274-6404
(313) 562-6969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10796
MI
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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