Organization
CUIVRE CREEK PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY S GOETZ DDS (OWNER DENTIST)
(641) 425-7279
Entity
Organization
Contact information
Practice address
91 TROY SQ STE 201, TROY, MO 63379-3228
(636) 383-4500
Mailing address
91 TROY SQ STE 201, TROY, MO 63379-3228
(636) 383-4500
(636) 383-4501
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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