Organization · Type 2 NPI

Willow Tree Dental Group LLC

Periodontics · Meridian, ID

NPI number 1093974446 Active

About NPI 1093974446

Willow Tree Dental Group LLC's National Provider Identifier is 1093974446, issued on Jun 2, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Meridian, ID. The record was last updated on Jun 2, 2008.