Individual
DONNA JANE GOTTWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12740 BANDERA RD, HELOTES, TX 78023-4327
(210) 695-1200
(210) 695-1370
Mailing address
12740 BANDERA RD, HELOTES, TX 78023-4327
(210) 695-1200
(210) 695-1370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18509
TX
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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