Organization
WILLOW DENTAL MILLARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DAWSON DMD (DENTIST)
(918) 815-6294
Entity
Organization
Contact information
Practice address
13790 MILLARD AVE, OMAHA, NE 68137-2700
(402) 896-1999
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
11/07/2024
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