Individual
AMANDA GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 SE CEDARWOOD DR, GRIMES, IA 50111-1143
(515) 360-0393
Mailing address
348 SE CEDARWOOD DR, GRIMES, IA 50111-1143
(515) 360-0393
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH-04217
IA
Other
Enumeration date
02/23/2024
Last updated
09/22/2024
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