Organization
HEATHER A WILLIS DDS LLC
Active
Other names
Spruce Roots Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WILLIS (DIRECTOR OF OPERATIONS)
(907) 687-3491
Entity
Organization
Contact information
Practice address
4001 GEIST RD, STE 5B, FAIRBANKS, AK 99709-3552
(907) 479-3326
Mailing address
4001 GEIST RD, STE 5B, FAIRBANKS, AK 99709-3552
(907) 479-3326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1252
AK
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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