DR. Eric Paul Gothelf, DMD

NPI #1255312641 in Woodside, New York

Provider Information

NPI Number: 1255312641
Entity Type: Individual
Name: DR. Eric Paul Gothelf, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 11, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 6121 ROOSEVELT AVE
City: Woodside
State: New York
ZIP Code: 11377-3569
Phone: (718) 458-0940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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