DR. Peter Jason Goltz, DMD

NPI #1164718763 in Defuniak Springs, Florida

Provider Information

NPI Number: 1164718763
Entity Type: Individual
Name: DR. Peter Jason Goltz, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 362 STATE HIGHWAY 83
City: Defuniak Springs
State: Florida
ZIP Code: 32433-1733
Phone: (850) 892-8015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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