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Organization
WILLOW DENTAL BELLEVUE, LLC
Active
Organization
WILLOW DENTAL BELLEVUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
7511 S 36TH ST, BELLEVUE, NE 68147-1244
(402) 733-2281
(918) 235-9079
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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