Individual
COURTNEY MARIE GOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3626 CROSSINGS DR, PRESCOTT, AZ 86305-7137
(928) 445-5959
Mailing address
5375 RAINBOW CLIFF PL, PRESCOTT, AZ 86301-5547
(928) 308-3237
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
01530
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
07/01/2022
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