Most Relevant Information
Provider Data
| NPI Number: | 1003251596 |
| Provider Name: | ANDREW GODZYK DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | D6678 |
Most Important Dates
| Enumeration Date: | 05/09/2013 |
| Last Updated: | 05/09/2013 |
Provider Practice Location
11162 SE 23RD AVE
MILWAUKIE
OR
972227708
Practice Location Phone/Fax
| Phone: | 5036544444 |
| Fax: | 5036546119 |
Provider Mailing Location
11162 SE 23RD AVE
MILWAUKIE
OR
972227708
Provider Mailing Phone/Fax
| Phone: | 5036544444 |
| Fax: | 5036546119 |