| Willow Dental Group Llc | |
|
20140 Mcloughlin Blvd Gladstone OR 97027-2604 | |
| (971) 707-0117 | |
| Not Available |
| Full Name | Willow Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20140 Mcloughlin Blvd, Gladstone, Oregon |
| Authorized Official Name and Position | Benjamin James (OWNER) |
| Authorized Official Contact | 5416666091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Dental Group Llc 201 Se Washington St Dallas OR 97338-2860 Ph: () - | Willow Dental Group Llc 20140 Mcloughlin Blvd Gladstone OR 97027-2604 Ph: (971) 707-0117 |
| NPI Number | 1821853193 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821853193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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