Organization
FALMOUTH PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M WILLIS DDS (PRESIDENT)
(207) 781-2272
Entity
Organization
Contact information
Practice address
6 FUNDY RD, FALMOUTH, ME 04105-1705
(207) 781-2272
(207) 781-3605
Mailing address
6 FUNDY RD, FALMOUTH, ME 04105-1705
(207) 781-2272
(207) 781-3605
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2312
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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