| NPI | 1740670066 |
|---|---|
| Doing Business As | GATEWAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PADMAJA K MUTYALA Dentist/Owner 661-829-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54081) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-01-26 |