Organization
ANDREA GODAWA DDS PLLC
Active
Other names
Modern Dentistry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GODAWA DDS (DENTIST/OWNER)
(269) 429-1515
Entity
Organization
Contact information
Practice address
3915 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
(269) 429-1515
Mailing address
3915 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
(269) 429-1515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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