Individual
DR. GERMAINE NICKOLE GOTTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3950 PROMENADE PKWY, SUITE E, DIBERVILLE, MS 39540-5367
(228) 392-1960
(228) 392-1959
Mailing address
3950 PROMENADE PKWY, SUITE E, DIBERVILLE, MS 39540-5367
(228) 392-1960
(228) 392-1959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3295-04
MS
Other
Enumeration date
05/15/2007
Last updated
04/15/2010
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