| NPI | 1073336483 |
|---|---|
| Doing Business As | GATEWAY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ROGER MYERS Owner 904-200-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |