Organization
GARY L. GOTSCH DDS, MSD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L GOTSCH (OWNER/DENTIST)
(260) 486-8778
Entity
Organization
Contact information
Practice address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8788
(260) 486-7679
Mailing address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8778
(260) 486-7679
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
7341
IN
Other
Enumeration date
03/30/2016
Last updated
10/10/2016
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