| Gateway Dental Inc | |
|
6720 Hollywood Blvd Hollywood FL 33024-7544 | |
| (954) 541-9796 | |
| (954) 541-9795 |
| Full Name | Gateway Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6720 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Pablo Miranda (OWNER) |
| Authorized Official Contact | 3058562300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental Inc 6720 Hollywood Blvd Hollywood FL 33024-7544 Ph: (954) 541-9796 | Gateway Dental Inc 6720 Hollywood Blvd Hollywood FL 33024-7544 Ph: (954) 541-9796 |
| NPI Number | 1396150199 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396150199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15212 (Florida) | Primary |
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