Organization
WILLOW RUN DENTAL ASSOC. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GIROUARD RDH (OFFICE MANAGER)
(207) 783-0261
Entity
Organization
Contact information
Practice address
1 WILLOW RUN, UNIT 1-B, AUBURN, ME 04210-8501
(207) 783-0261
Mailing address
1 WILLOW RUN, UNIT 1-B, AUBURN, ME 04210-8501
(207) 783-0261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2892
ME
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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