Willow Dental Group

NPI 1043610165 - Dentist - 122300000X

NPI Details
NPI 1043610165
Enumeration Date 08/26/2014
Last Updated 08/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SHAWN E SHAWN
Position OWNER
Phone (559) 434-1088
Fax
Practice Location
6753 N WILLOW AVE
FRESNO CA, 93710-5900, US
Phone (559) 434-1088
Fax
Business Location
6753 N WILLOW AVE
FRESNO CA, 93710-5900, US
Phone (559) 434-1088
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1043610165 NPI Number
 

According to our database, Willow Dental Group NPI is 1043610165, taxonomy code is 122300000X Willow Dental Group physically located at 6753 N Willow Ave, Fresno CA, 93710-5900. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1043610165 NPI number is provided on an as is basis without warranty of any kind. 1043610165 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Dental Group are for informational purposes only.