Individual
DR. ANDREW GODZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11162 SE 23RD AVE, MILWAUKIE, OR 97222-7708
(503) 654-4444
(503) 654-6119
Mailing address
11162 SE 23RD AVE, MILWAUKIE, OR 97222-7708
(503) 654-4444
(503) 654-6119
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6678
OR
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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