Individual
MATTHEW GOTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
919 FLORENCE AVE, FORT WAYNE, IN 46808
(260) 632-8486
Mailing address
4321 COLLEGE ST, WOODBURN, IN 46797-9005
(260) 632-5312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011973A
IN
Other
Enumeration date
08/28/2013
Last updated
09/04/2024
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