| NPI | 1326143256 |
|---|---|
| Doing Business As | GATEWAY DENTAL GROUP OF RIVERSIDE |
| Entity Type | Organization |
| Authorized Contact | BRYAN K WATANABE Owner Dds 951-359-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-10-08 |