Individual
JADE FAITH GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
35 W COMBS RD STE 102, QUEEN CREEK, AZ 85140-9102
(520) 650-3338
Mailing address
24815 S ELLSWORTH RD APT 310, QUEEN CREEK, AZ 85142-1925
(313) 231-1365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012205
AZ
Other
Enumeration date
07/29/2024
Last updated
09/05/2025
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