| NPI | 1851008684 |
|---|---|
| Doing Business As | GULL ROAD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT C GANO Owner/Dentist 269-330-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-16 |