Individual
MINDI JOY GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 E JAMES LEE BLVD, CRESTVIEW, FL 32539-3118
(850) 689-5593
Mailing address
1130 SWEETBRIAR STA, FORT WALTON BEACH, FL 32547-7052
(850) 689-5593
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH20596
FL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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