NPI | 1992493811 |
---|---|
Doing Business As | GATEWAY FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JASVINDER BADWALZ Owner 915-779-5781 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-04-27 |