| NPI | 1811431703 |
|---|---|
| Doing Business As | HILLCREST DENTAL GATEWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALPHONZO LOWELL DAVIDSON Owner 202-584-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 11379) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |