| Doctor Name: | DR. ALLEN GOTORA |
| NPI Number: | 1780831289 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | 14124 |
| Business Practice Address: | 6471 Marlboro Pike District Heights, MD - 207472843 |
| Business Phone Number: | 3015682029 |
| Business Fax Number: | |
| Mailing Address: | 2104 Piney Branch Cir, Apt 323 HANOVER |
| State: | MD |
| Postal Code: | 210761833 |
| Phone Number: | 2022030230 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2008 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 14124 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |