Willow Tree Dental Pllc

NPI #1942661038 in Meridian, Idaho

Provider Information

NPI Number: 1942661038
Entity Type: Organization
Organization Name: Willow Tree Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2016
Last Updated: Mar 16, 2016

Practice Location

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

Authorized Official

Name: DR. DOUGLAS DOWDLE, DMD
Title: OWNER
Phone: (208) 888-2055

Specialties & Taxonomy Codes

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

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