Individual
LAURIE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 HORSEBACK RD, CARMEL, ME 04419-3301
(207) 356-8656
Mailing address
41 HORSEBACK RD, CARMEL, ME 04419-3301
(207) 356-8656
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2992
ME
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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