| NPI | 1548303555 |
|---|---|
| Doing Business As | GATEWAY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN B CODJOE Owner 508-771-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA DN1855757) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-10-07 |