John Talmage Gotwalt, D.D.S., FAGD

NPI #1083786453 in Lititz, Pennsylvania

Provider Information

NPI Number: 1083786453
Entity Type: Individual
Name: John Talmage Gotwalt, D.D.S., FAGD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S., FAGD
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2320 ROTHSVILLE RD
Address 2: SUITE 300
City: Lititz
State: Pennsylvania
ZIP Code: 17543-8215
Phone: (717) 627-6980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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