Individual
DR. CHAD MICHAEL GOECKERITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2120 E 3900 S, SUITE 102, SALT LAKE CITY, UT 84124-1771
(801) 274-2500
(801) 274-0590
Mailing address
2120 E 3900 S, SUITE 102, SALT LAKE CITY, UT 84124-1771
(801) 274-2500
(801) 274-0590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7015094-9922
UT
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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