| Byron Duvall D.d.s. Gateway, P.c. | |
|
9378 Olive Blvd Suite 1ll Olivette MO 63132-3215 | |
| (800) 409-2563 | |
| Not Available |
| Full Name | Byron Duvall D.d.s. Gateway, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9378 Olive Blvd, Olivette, Missouri |
| Authorized Official Name and Position | Byron Duvall (OWNER) |
| Authorized Official Contact | 8004092563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Duvall D.d.s. Gateway, P.c. 1904 W. Parkside Lane Suite 201 Phoenix AZ 85027 Ph: () - | Byron Duvall D.d.s. Gateway, P.c. 9378 Olive Blvd Suite 1ll Olivette MO 63132-3215 Ph: (800) 409-2563 |
| NPI Number | 1578864278 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578864278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 013419 (Missouri) | Primary |
Gateway Oral Health Foundation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9378 Olive St Ste Ill, Gateway Oral Health Foundation, Olivette, MO 63132 Phone: 314-872-3930 Fax: 314-872-3952 |