Individual
ALEXA GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 TUSKEGEE BLVD, DOVER, DE 19902
(302) 677-2027
Mailing address
304 TUSKEGEE BLVD, DOVER, DE 19902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11303660-9921
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
12/06/2021
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