Individual
DR. GREG B GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1186 EASTLAND DR. NORTH, STE A, TWIN FALLS, ID 83301
(208) 733-6074
Mailing address
1186 EASTLAND DR. NORTH, STE A, TWIN FALLS, ID 83301
(208) 358-3674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4423
ID
Other
Enumeration date
05/12/2010
Last updated
03/22/2024
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