| Willow Street Dental, Llc | |
|
123 W Willow St Chippewa Falls WI 54729-2329 | |
| (715) 723-5688 | |
| Not Available |
| Full Name | Willow Street Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 W Willow St, Chippewa Falls, Wisconsin |
| Authorized Official Name and Position | Curtis Dallin Calder (OWNER) |
| Authorized Official Contact | 2087169055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Street Dental, Llc 123 W Willow St Chippewa Falls WI 54729-2329 Ph: (715) 723-5688 | Willow Street Dental, Llc 123 W Willow St Chippewa Falls WI 54729-2329 Ph: (715) 723-5688 |
| NPI Number | 1205715422 |
|---|---|
| Provider Enumeration Date | 09/01/2025 |
| Last Update Date | 09/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205715422 | NPI | - | NPPES |
| 1326803040 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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