Individual
THOMAS HANSEN GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1580 E DESERT INN RD, LAS VEGAS, NV 89169-2548
(702) 466-2507
Mailing address
4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130-2239
(702) 655-9533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-6936
NV
Other
Enumeration date
08/05/2013
Last updated
07/21/2022
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