Organization
SIPD GODFREY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE A WOHLFORD (MEMBER/ OWNER)
(618) 791-2794
Entity
Organization
Contact information
Practice address
901 LARS HOFFMAN XING, GODFREY, IL 62035-4217
(618) 481-3700
Mailing address
1004 TIMBERLAKE DR, EDWARDSVILLE, IL 62025-4100
(618) 791-2794
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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