| Willow Creek Family Dental | |
|
28 Nathan Ln N Plymouth MN 55441-6306 | |
| (763) 545-1885 | |
| Not Available |
| Full Name | Willow Creek Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28 Nathan Ln N, Plymouth, Minnesota |
| Authorized Official Name and Position | Neera Madhok (DENTIST) |
| Authorized Official Contact | 7635451885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Family Dental 28 Nathan Ln N Plymouth MN 55441-6306 Ph: () - | Willow Creek Family Dental 28 Nathan Ln N Plymouth MN 55441-6306 Ph: (763) 545-1885 |
| NPI Number | 1508104191 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 01/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508104191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12181 (Minnesota) | Primary |
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