Organization
JENNIFER GOTCH DDS PC
Active
Other names
Elite Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER GOTCH D.D.S. (PRESIDENT/DENTIST)
(712) 224-4001
Entity
Organization
Contact information
Practice address
5708 SUNNYBROOK DR, SIOUX CITY, IA 51106-4249
(712) 224-4001
Mailing address
PO BOX 176, SIOUX CITY, IA 51102-0176
(712) 224-4001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8773
IA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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