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Individual

DR. BRYCE MICHAEL GOEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

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
08429
IA

Other

Enumeration date
05/08/2007
Last updated
06/03/2008
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