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Dr. Merle Franklin Godfrey III, DDS

Dentist, General Practice in Loomis, CA. Individual provider (NPI-1).

NPI number1003004698
StatusActive
Last updated in NPPESApr 18, 2014

Details

NPI
1003004698
Entity type
Individual (NPI-1)
Name
Dr. Merle Franklin Godfrey III
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 9, 2007
Last updated
Apr 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice38684CAYes

Practice location

3669 Taylor Rd
#2178
Loomis, CA 95650-7400

Phone 916-660-0907

Mailing address

Po Box 2178
Loomis, CA 95650-2178

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