Individual
DR. MARY ELIZABETH GOEDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1615 E 61ST ST N STE 300, PARK CITY, KS 67219-1964
(316) 260-6868
Mailing address
2410 N SILVERDALE ST, ANDOVER, KS 67002-7651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61915
KS
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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