| River Willow Dental Center Llc | |
|
2 Wainwright St Ste 210 Washington MO 63090-4507 | |
| (636) 283-0249 | |
| Not Available |
| Full Name | River Willow Dental Center Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 Wainwright St Ste 210, Washington, Missouri |
| Authorized Official Name and Position | Martin Brunworth (OWNER, DENTIST) |
| Authorized Official Contact | 6362830249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Willow Dental Center Llc 681 Royal Oak Ct Washington MO 63090-6167 Ph: (636) 667-6487 | River Willow Dental Center Llc 2 Wainwright St Ste 210 Washington MO 63090-4507 Ph: (636) 283-0249 |
| NPI Number | 1427857127 |
|---|---|
| Provider Enumeration Date | 03/13/2025 |
| Last Update Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427857127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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