Individual
DR. BRETT ZYGMUNT GODLEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6100 N 5TH ST, PHILADELPHIA, PA 19120-1423
(215) 224-4343
(215) 224-2447
Mailing address
401 COMMERCE DR, SUITE 108, FT WASHINGTON, PA 19034-2714
(215) 550-7186
(215) 646-6166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039481
PA
1223G0001X
General Practice Dentistry
8408
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4017
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS039481
PA
Other
Enumeration date
09/13/2006
Last updated
02/27/2014
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