NPI | 1447475348 |
---|---|
Doing Business As | WILLOW HILL DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | SHANE JOEL TEWIS Member Of P LLC 918-289-7086 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |