| NPI | 1215143326 |
|---|---|
| Doing Business As | GATEWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | HICHAM MEKOUAR President 703-753-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 411070) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-04-28 |