Reed, Lilian Wagas

Reed, Lilian Wagas is an individual health care provider with primary practice located at 671 Dove Dr , Perris CA 92570-1955. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Reed, Lilian Wagas can be contacted via phone (909) 255-5670.

Contact Information

Primary practice address
671 Dove Dr Perris CA 92570-1955
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA92660 California

Profile Details

NPI number 1710540364
LBN Legal business name Reed, Lilian Wagas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2019
Last updated Apr 18th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710540364 NPPES
California MEDICAID RDA92660

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