NPI | 1326839507 |
---|---|
Doing Business As | GATEWAY DENTAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | SHERRIE EDMONDSON Sr Manager Licensing & Credentialin 629-999-5014 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-05-15 |