Individual
DR. KEELY CHRISTINA GOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
204 2ND AVE NE, HAZEN, ND 58545-4420
(701) 748-2730
Mailing address
808 3RD AVE NE, MANDAN, ND 58554-3220
(701) 663-0389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2298
ND
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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