| 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 |