| Willow Dental Group | |
|
6753 N Willow Ave Fresno CA 93710-5900 | |
| (559) 434-1088 | |
| Not Available |
| Full Name | Willow Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 6753 N Willow Ave, Fresno, California |
| Authorized Official Name and Position | Shawn E Anderson (OWNER) |
| Authorized Official Contact | 5594341088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Dental Group 6753 N Willow Ave Fresno CA 93710-5900 Ph: (559) 434-1088 | Willow Dental Group 6753 N Willow Ave Fresno CA 93710-5900 Ph: (559) 434-1088 |
| NPI Number | 1043610165 |
|---|---|
| Provider Enumeration Date | 08/26/2014 |
| Last Update Date | 08/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043610165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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