| Gary L. Gotsch Dds, Msd, Llc | |
|
4205 Hobson Ct Fort Wayne IN 46815-8648 | |
| (260) 486-8788 | |
| (260) 486-7679 |
| Full Name | Gary L. Gotsch Dds, Msd, Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 4205 Hobson Ct, Fort Wayne, Indiana |
| Authorized Official Name and Position | Gary L Gotsch (OWNER/DENTIST) |
| Authorized Official Contact | 2604868778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L. Gotsch Dds, Msd, Llc 4205 Hobson Ct Fort Wayne IN 46815-8648 Ph: (260) 486-8778 | Gary L. Gotsch Dds, Msd, Llc 4205 Hobson Ct Fort Wayne IN 46815-8648 Ph: (260) 486-8788 |
| NPI Number | 1336502145 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336502145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 7341 (Indiana) | Secondary |
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