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General NPI Number Information
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NPI Number | 1164591145
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Entity Type | Organization
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Legal Business Name | DAVID GOTEINER DDS LLC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 NORTH RD STE C
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City | CHESTER
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State | NJ
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Zip | 07930-2318
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Country | US
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Telephone | 908-879-7709
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Fax |
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Provider Business Mailing Address
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Address Line | 2A NORTH RD
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City | CHESTER
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State | NJ
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Zip | 07930-2308
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Country | US
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Telephone | 908-879-7709
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID GOTEINER
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Credential | DDS
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Telephone | 908-879-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | TC11188
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License Number State | NJ
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