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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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