Jack Rahman Gothier, DDS

NPI #1073358800 in Grand Junction, Colorado

Provider Information

NPI Number: 1073358800
Entity Type: Individual
Name: Jack Rahman Gothier, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 25, 2024
Last Updated: Jun 25, 2024

Practice Location

Address: 2333 N 6TH ST
City: Grand Junction
State: Colorado
ZIP Code: 81501-2001
Phone: (970) 200-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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