| NPI | 1932529690 |
|---|---|
| Doing Business As | GATEWAY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHADI M RAD JADALI President 949-707-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 51991) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |