Individual
EVA M GOETTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 INDIAN ST, CHEROKEE, IA 51012-1272
(712) 225-0432
(712) 225-1981
Mailing address
110 INDIAN ST, CHEROKEE, IA 51012-1272
(712) 225-0432
(712) 225-1981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7793
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1138313
—
IA
01
—
7793
DDS LICENSE #
IA
Enumeration date
07/13/2006
Last updated
07/09/2007
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