Individual
MATTHEW GOTAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 W UNION HILLS DR, PHOENIX, AZ 85027-6629
(602) 610-0338
Mailing address
8119 E MICHELLE DR, SCOTTSDALE, AZ 85255-5405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012289
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
02/06/2026
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