| NPI | 1225431307 |
|---|---|
| Doing Business As | GATEWAY ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BRYCE EAGAR Manager Dentist 435-656-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: UT 9052028-9922) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2024-11-02 |