Willow Creek Family Dental

NPI 1508104191 - Clinic/Center - 261QD0000X

NPI Details
NPI 1508104191
Enumeration Date 01/16/2013
Last Updated 01/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NEERA NEERA
Position DENTIST
Phone (763) 545-1885
Fax
Practice Location
28 NATHAN LN N
PLYMOUTH MN, 55441-6306, US
Phone (763) 545-1885
Fax
Business Location
28 NATHAN LN N
PLYMOUTH MN, 55441-6306, US
Phone
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Minnesota
License Number 12181
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According to our database, Willow Creek Family Dental NPI is 1508104191, taxonomy code is 261QD0000X and license number is 12181, license state is located at Minnesota. Willow Creek Family Dental physically located at 28 Nathan Ln N, Plymouth MN, 55441-6306. NPI Number 1033115704 has the healthcare provider type.

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1508104191 NPI number is provided on an as is basis without warranty of any kind. 1508104191 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Creek Family Dental are for informational purposes only.