| NPI | 1023334968 |
|---|---|
| Doing Business As | GATEWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WHELAN LOK President 626-254-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 51103) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |