Individual
JOHN TALMAGE GOTWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., FAGD
Contact information
Practice address
2320 ROTHSVILLE RD, SUITE 300, LITITZ, PA 17543-8215
(717) 627-6980
(717) 627-3038
Mailing address
2320 ROTHSVILLE RD, SUITE 300, LITITZ, PA 17543-8215
(717) 627-6980
(717) 627-3038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020228L
PA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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