Willow Dental Group LLC
NPI #1609493188 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1609493188
- Entity Type
- Organization
- Organization Name
- Willow Dental Group LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 30, 2020
- Last Updated
- Jun 30, 2020
Practice Location
- Address
- 3333 S SUNNYSLOPE RD STE 100
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-4504
- Phone
- (262) 505-1000
Authorized Official
- Name
- DR. NICHOLAS DWAN, DDS
- Title
- GENERAL DENTIST
- Phone
- (262) 505-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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