Organization
GODFREY FAMILY DENTAL LLC
Active
Other names
Lifetime Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER ROBERT GODFREY DMD (OWNER)
(801) 663-6144
Entity
Organization
Contact information
Practice address
475 N 300 W STE 1, KAYSVILLE, UT 84037-3112
(801) 546-2413
(801) 546-1900
Mailing address
2087 N 725 W, CENTERVILLE, UT 84014-3465
(801) 663-6144
(801) 546-1900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/23/2023
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