| NPI | 1740942002 |
|---|---|
| Doing Business As | DBA WESTGATE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ASHLY KRISTINE SUNSHINE Credentialing Specialist 314-413-2803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2023-06-01 |