Gateway Ventures Llc

NPI 1083957351 - Dentist - 1223X0400X

NPI Details
NPI 1083957351
Enumeration Date 04/04/2013
Last Updated 04/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BENJAMIN BENJAMIN
Position OWNER
Phone (479) 443-1705
Fax (479) 443-1586
Practice Location
3782 N FRONT ST
SUITE 1
FAYETTEVILLE AR, 72703-5128, US
Phone (479) 443-1705
Fax (479) 443-1586
Business Location
3782 N FRONT ST
SUITE 1
FAYETTEVILLE AR, 72703-5128, US
Phone (479) 443-1705
Fax (479) 443-1586
Toxanomy
Taxonomy Code 1223X0400X
License State
License Number
Remove 1083957351 NPI Number
 

According to our database, Gateway Ventures Llc NPI is 1083957351, taxonomy code is 1223X0400X Gateway Ventures Llc physically located at 3782 N Front St, Fayetteville AR, 72703-5128. NPI Number 1033115704 has the healthcare provider type.

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1083957351 NPI number is provided on an as is basis without warranty of any kind. 1083957351 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway Ventures Llc are for informational purposes only.