Individual
JACK RAHMAN GOTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 200-1600
Mailing address
2375 GLENWOOD LN, AVON, OH 44011-4711
(440) 865-5107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.0020601
CO
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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