| Willow Dental Group Llc | |
|
3333 S Sunnyslope Rd Ste 100 New Berlin WI 53151-4504 | |
| (262) 505-1000 | |
| Not Available |
| Full Name | Willow Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3333 S Sunnyslope Rd Ste 100, New Berlin, Wisconsin |
| Authorized Official Name and Position | Nicholas Dwan (GENERAL DENTIST) |
| Authorized Official Contact | 2625051000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Dental Group Llc 3333 S Sunnyslope Rd Ste 100 New Berlin WI 53151-4504 Ph: (262) 505-1000 | Willow Dental Group Llc 3333 S Sunnyslope Rd Ste 100 New Berlin WI 53151-4504 Ph: (262) 505-1000 |
| NPI Number | 1609493188 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609493188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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