Willowtree Dental Group Pllc

NPI #1548282528 in Meridian, Idaho

Provider Information

NPI Number: 1548282528
Entity Type: Organization
Organization Name: Willowtree Dental Group Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 317 W CHERRY LN
City: Meridian
State: Idaho
ZIP Code: 83642-1608
Phone: (208) 888-2055

Authorized Official

Name: IRENE D TURNER
Title: OFFICE ADMINISTRATOR
Phone: (208) 888-2055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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