William Colton Godfrey, DHAT Valid NPI
Individual provider · Dental Therapist · Anchorage, AK
- NPI
- 1902653264
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- 24-181-DHAT (AK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-05-03
- Last updated
- 2024-05-03
Practice location
4441 Diplomacy Dr
Anchorage, AK 99508-5910
(907) 729-2000