| NPI | 1073336483 |
|---|---|
| Doing Business As | GATEWAY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ROGER MYERS Owner 904-200-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-02-12 |