Individual
CHAD GOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
W4173 COUNTY ROAD H, FOND DU LAC, WI 54937-9653
(815) 541-9561
Mailing address
101 CAMELOT DR, SUITE #3, FOND DU LAC, WI 54935-8048
(920) 921-1244
(920) 921-2192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001300-15
WI
Other
Enumeration date
06/03/2016
Last updated
09/27/2016
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