Organization
WILLOW CREEK FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEERA MADHOK (DENTIST)
(763) 545-1885
Entity
Organization
Contact information
Practice address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 545-1885
Mailing address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12181
MN
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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