Willow Tree Dental Group LLC
Willow Tree Dental Group LLC is a Periodontics in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
317 W Cherry LnMeridian, ID 83642-1608
Phone: (208) 472-7817
Fax: (208) 345-2601
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence D3443 (ID) |
|---|
Record details
| NPI number | 1093974446 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Willow Tree Dental Group LLC |
| Authorized official | Shannon Love — Financial Manager · (208) 472-7817 |
| NPI enumerated | June 2, 2008 |
| Last updated in NPPES | June 2, 2008 |
| Mailing address | 317 W Cherry Ln, Meridian, ID 83642-1608 |
Other providers in Meridian
-
Jhkk Periodontics, PLLC
2352 S Titanium Pl, Meridian, ID 83642-6867 · (208) 377-2777
-
Jhkk Periodontics, PLLC
2352 S Titanium Pl, Meridian, ID 83642-6867 · (208) 377-2777
-
Bruce W Richardson, DDS
317 W Cherry Ln, Meridian, ID 83642-1608 · (208) 888-2055