Chad Michael Goeckeritz D.D.S.

NPI 1821258260 - Dentist - 1223G0001X

NPI Details
NPI 1821258260
Gender Male
Enumeration Date 06/10/2008
Last Updated 06/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2120 E 3900 S
SUITE 102
SALT LAKE CITY UT, 84124-1771, US
Phone (801) 274-2500
Fax (801) 274-0590
Business Location
2120 E 3900 S
SUITE 102
SALT LAKE CITY UT, 84124-1771, US
Phone (801) 274-2500
Fax (801) 274-0590
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 7015094-9922
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According to our database, Dr. Chad Michael Goeckeritz D.D.S. NPI is 1821258260, taxonomy code is 1223G0001X and license number is 7015094-9922, license state is located at Utah. Chad Michael Goeckeritz D.D.S. physically located at 2120 E 3900 S, Salt Lake City UT, 84124-1771. NPI Number Chad Michael Goeckeritz D.D.S. has the Individual type.

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1821258260 NPI number is provided on an as is basis without warranty of any kind. 1821258260 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Michael Goeckeritz D.D.S. are for informational purposes only.