Otter Creek Dental, LLC
NPI #1265096812 in Hortonville, Wisconsin
Provider Information
- NPI Number
- 1265096812
- Entity Type
- Organization
- Organization Name
- Otter Creek Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 30, 2019
- Last Updated
- Apr 30, 2019
Practice Location
- Address
- 105 KELLY WAY
- City
- Hortonville
- State
- Wisconsin
- ZIP Code
- 54944-8755
- Phone
- (920) 740-8706
Authorized Official
- Name
- DR. BRANDEN GOETSCH, DMD
- Title
- OWNER DENTIST
- Phone
- (920) 740-8706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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