| Willow Smiles Dentistry | |
|
3850 S Meridian Ste 5 Puyallup WA 98373-3701 | |
| (253) 864-0310 | |
| Not Available |
| Full Name | Willow Smiles Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3850 S Meridian Ste 5, Puyallup, Washington |
| Authorized Official Name and Position | Nikolina Nielsen (DENTIST) |
| Authorized Official Contact | 2538640310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Smiles Dentistry 3850 So Meridian #5 Puyallup WA 98373 Ph: (253) 864-0310 | Willow Smiles Dentistry 3850 S Meridian Ste 5 Puyallup WA 98373-3701 Ph: (253) 864-0310 |
| NPI Number | 1871942169 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871942169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60146593 (Washington) | Primary |
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