Organization · Type 2 NPI

Willow Dental Group LLC

Dental Clinic/Center · New Berlin, WI

NPI number 1609493188 Active

Practice location

3333 S Sunnyslope Rd Ste 100
New Berlin, WI 53151-4504

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1609493188

Willow Dental Group LLC's National Provider Identifier is 1609493188, issued on Jun 30, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in New Berlin, WI. The record was last updated on Jun 30, 2020.