Organization
D. MICHAEL GOEBEL D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MICHAEL GOEBEL DDS (PRESIDENT)
(701) 258-8509
Entity
Organization
Contact information
Practice address
407 E AVENUE C, BISMARCK, ND 58501-3942
(701) 258-8509
Mailing address
407 E AVENUE C, BISMARCK, ND 58501-3942
(701) 258-8509
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1767
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41027
—
ND
Enumeration date
03/05/2008
Last updated
03/05/2008
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