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Individual
DR. GARY LYNN GOTSCH
Active
Individual
DR. GARY LYNN GOTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7341
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181210A
—
IN
Enumeration date
09/12/2006
Last updated
10/11/2016
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