| NPI | 1689740102 |
|---|---|
| Doing Business As | GATEWAY DENTAL GATEWAY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ILIEN J MINTER Owner 858-485-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DUO34933) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 51974) |
| 1223G0001X Dentist, General Practice (Licence: CA 38912) | |
| 1223G0001X Dentist, General Practice (Licence: CA 55919) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-04-20 |