Individual
DR. KRISTEN MACKENZIE GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1433 MARY DR, JOHNSTOWN, PA 15905-1945
(734) 649-6958
Mailing address
1433 MARY DR, JOHNSTOWN, PA 15905-1945
(734) 649-6958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11195
NC
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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