Individual
KARISSA GOETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
109 JOHNSON AVE N, FOSSTON, MN 56542-1327
(320) 309-5882
Mailing address
109 JOHNSON AVE N, FOSSTON, MN 56542-1327
(218) 435-1599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13671
MN
Other
Enumeration date
05/24/2016
Last updated
01/10/2023
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