| NPI | 1487155925 |
|---|---|
| Doing Business As | GATEWAY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | REBECCA F SCHREINER Member 314-518-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |