NPI | 1326101338 |
---|---|
Doing Business As | GATEWAY ENDODONTICS |
Entity Type | Organization |
Authorized Contact | PAUL ROBERT MANN Endodontist 816-554-7373 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 014710) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-08-22 |