DR. Mary Elizabeth Goedert, DDS

NPI #1760112445 in Park City, Kansas

Provider Information

NPI Number: 1760112445
Entity Type: Individual
Name: DR. Mary Elizabeth Goedert, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 1615 E 61ST ST N STE 300
City: Park City
State: Kansas
ZIP Code: 67219-1964
Phone: (316) 260-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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