Individual
DR. CRAIG GOTHELF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3730 83RD ST, DENTAL OFFICE, JACKSON HEIGHTS, NY 11372-7154
(718) 639-6966
(718) 639-8478
Mailing address
3730 83RD ST, DENTAL OFFICE, JACKSON HEIGHTS, NY 11372-7154
(718) 639-6966
(718) 639-8478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00780570
—
NY
Enumeration date
10/27/2005
Last updated
07/09/2007
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