Individual
JON R GOTTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
523 SOUTH ST, PITTSFIELD, MA 01201-8209
(413) 637-8195
Mailing address
523 SOUTH ST, PITTSFIELD, MA 01201
(413) 637-8195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18571
MA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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