| NPI | 1952114613 |
|---|---|
| Other Name | GATEWAY MOBILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSE M TURNER CEO 252-357-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |