| NPI | 1215396809 |
|---|---|
| Doing Business As | GATEWAY PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAIME V EVANGELISTA Dentist 510-887-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 37103) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |