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Organization
WILLOW DENTAL PAPILLION LLC
Active
Organization
WILLOW DENTAL PAPILLION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
8410 S 73RD PLZ STE 106, PAPILLION, NE 68046-1514
(402) 592-2219
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
11/08/2023
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