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Corby Katharina Goetzinger
Student in an Organized Health Care Education/Training Program in Rapid City, South Dakota
NPI 1861140014

Corby Katharina Goetzinger is a Student in an Organized Health Care Education/Training Program based in Rapid City, SD. Corby Katharina Goetzinger practices in Rapid City, SD. The NPI Number for Corby Katharina Goetzinger is 1861140014 and holds a License No. D1361 (South Dakota).

The current practice location address for Corby Katharina Goetzinger is 807 Saint Andrew St, Rapid City, SD and can be reached out via phone at 605-343-9352.

Location: 807 Saint Andrew St, Rapid City, SD, 57702-0509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861140014
Provider Name
Corby Katharina Goetzinger
Credential
Provider Entity Type
Individual
Gender
Female
Address
807 Saint Andrew St, Rapid City, SD, 57702-0509
Phone Number
605-343-9352
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
807 Saint Andrew St
City
Rapid City
State
South Dakota
Zip
57701-4526
Phone Number
605-343-9352
Fax Number
person
Provider Business Mailing Address Details
Address
807 Saint Andrew St
City
Rapid City
State
South Dakota
Zip
57701-4526
Phone Number
605-343-9352
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D1361 (South Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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