Red Willow Dental, LLC

NPI #1811667421 in Mc Cook, Nebraska

Provider Information

NPI Number: 1811667421
Entity Type: Organization
Organization Name: Red Willow Dental, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 15, 2021
Last Updated: Sep 15, 2021

Practice Location

Address: 521 NORRIS AVE
City: Mc Cook
State: Nebraska
ZIP Code: 69001-2005
Phone: (308) 345-5416

Authorized Official

Name: JEFF BLOMSTEDT, DDS
Title: OWNER
Phone: (308) 345-5416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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