Corby Katharina Goetzinger Valid NPI

Individual provider · General Practice Dentistry · Rapid City, SD

NPI

1861140014

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D1361 (SD)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-03-16

Last updated

2022-06-28