Willow Run Dental Assoc. P.a.

NPI #1992745384 in Auburn, Maine

Provider Information

NPI Number: 1992745384
Entity Type: Organization
Organization Name: Willow Run Dental Assoc. P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1 WILLOW RUN
Address 2: UNIT 1-B
City: Auburn
State: Maine
ZIP Code: 04210-8501
Phone: (207) 783-0261

Authorized Official

Name: NANCY GIROUARD, RDH
Title: OFFICE MANAGER
Phone: (207) 783-0261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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