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Gateway Oral Health Foundation

NPI #1346394970 in Olivette, Missouri

Provider Information

NPI Number
1346394970
Entity Type
Organization
Organization Name
Gateway Oral Health Foundation
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
9378 OLIVE ST STE ILL
Address 2
GATEWAY ORAL HEALTH FOUNDATION
City
Olivette
State
Missouri
ZIP Code
63132-9378
Phone
(314) 872-3930

Authorized Official

Name
DR. BYRON V DEVALL, DDS
Title
DENTIST
Phone
(314) 872-3930

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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