Individual
DR. DENNIS WALTER GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
555 ROUTE 25A, MILLER PLACE, NY 11764-2625
(631) 744-0202
(631) 744-0257
Mailing address
555 ROUTE 25A, P.O. BOX 5600, MILLER PLACE, NY 11764-2625
(631) 744-0202
(631) 744-0257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035186
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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