NPI | 1205661543 |
---|---|
Doing Business As | GATEWAY DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | ROBERT KELLEN MCWHORTER Dentist 801-358-8175 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2024-09-05 |
Last Update Date | 2024-09-05 |