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Individual

DR. ERIC REID GOETTSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
53 E CALDERWOOD DR # 110, MERIDIAN, ID 83642-7440
(208) 501-8860
(208) 501-8862
Mailing address
53 E CALDERWOOD DR # 110, MERIDIAN, ID 83642-7440
(208) 501-8860
(208) 501-8862

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5000
ID

Other

Enumeration date
07/09/2015
Last updated
07/11/2022
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