Individual
GARETT CHARLES GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
711 HARRISON AVE, CENTRALIA, WA 98531-2109
(607) 365-4053
(360) 736-5620
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60646168
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029032
—
WA
Enumeration date
03/20/2013
Last updated
01/05/2021
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