Gateway Dental Practice | |
502 First St Ste B Paso Robles CA 93446-3764 | |
(805) 239-9597 | |
(805) 239-4142 |
Full Name | Gateway Dental Practice |
---|---|
Speciality | Dentist |
Location | 502 First St Ste B, Paso Robles, California |
Authorized Official Name and Position | Jacob Alan Wood (OWNER, CEO) |
Authorized Official Contact | 8055409309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gateway Dental Practice 502 First St Ste B Paso Robles CA 93446-3764 Ph: (805) 239-9597 | Gateway Dental Practice 502 First St Ste B Paso Robles CA 93446-3764 Ph: (805) 239-9597 |
NPI Number | 1700534898 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 03/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700534898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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