Individual
MRS. DANIELLE GODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
365 S CENTRAL VALLEY DR, CENTRAL POINT, OR 97502-1509
(541) 821-0902
Mailing address
365 S CENTRAL VALLEY DR, CENTRAL POINT, OR 97502-1509
(541) 821-0902
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5019
OR
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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