Organization
WILLARD DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE HAMILTON (DIRECTOR, PAYOR STRATEGY)
(315) 410-5531
Entity
Organization
Contact information
Practice address
3347 NEW CENTER PT, COLORADO SPRINGS, CO 80922-2880
(719) 208-3791
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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