Organization
ANDREW GODZYK DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GODZYK JR. DMD (PRESIDENT)
(503) 654-4444
Entity
Organization
Contact information
Practice address
11162 SE 23RD AVE, MILWAUKIE, OR 97222
(503) 654-4444
(503) 654-6119
Mailing address
11162 SE 23RD AVE, MILWAUKIE, OR 97222
(503) 654-4444
(503) 654-6119
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6678
OR
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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