| 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 |