Individual
DR. GORDON F GOETTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 E FAYETTE ST, MANCHESTER, IA 52057-1705
(563) 927-4746
(563) 927-6217
Mailing address
120 E FAYETTE ST, MANCHESTER, IA 52057-1705
(563) 927-4746
(563) 927-6217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6119
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1129577
—
IA
Enumeration date
08/31/2006
Last updated
07/17/2007
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