Antun Lago, Reem
Antun Lago, Reem is an individual health care provider with primary practice located at 24 Lyman St Ste 240 , Westborough MA 01581-1483. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Antun Lago, Reem can be contacted via phone (508) 366-0122.Contact Information
Primary practice address
24 Lyman St Ste 240
Westborough MA 01581-1483
Phone: (508) 366-0122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 20782 | Massachusetts |
Profile Details
| NPI number | 1831275627 |
|---|---|
| LBN Legal business name | Antun Lago, Reem |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831275627 | NPPES |
| Massachusetts | Other | ANX11834 | BCBS MS |
| Massachusetts | Other | MOOX11834 | BCBS MS |
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