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Individual

CORBY KATHARINA GOETZINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
807 SAINT ANDREW ST, RAPID CITY, SD 57701-4526
(605) 343-9352
Mailing address
3907 PARKRIDGE DR, RAPID CITY, SD 57702-0509
(605) 786-5693

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1361
SD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/16/2022
Last updated
06/28/2022
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