| Willow Dental Llc | |
|
5709 Nw Radial Hwy Omaha NE 68104-4141 | |
| (402) 551-1757 | |
| Not Available |
| Full Name | Willow Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 5709 Nw Radial Hwy, Omaha, Nebraska |
| Authorized Official Name and Position | Lily Davis (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Dental Llc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Willow Dental Llc 5709 Nw Radial Hwy Omaha NE 68104-4141 Ph: (402) 551-1757 |
| NPI Number | 1477227551 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477227551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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