| NPI | 1689823635 |
|---|---|
| Doing Business As | GATEWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BOBBY J GROSSI President/ Owner 810-235-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018775) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |