Reilly-Lake, Pauline P

Reilly-Lake, Pauline P is an individual health care provider with primary practice located at 16 Haverhill St Ste 1 , Andover MA 01810-3000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Reilly-Lake, Pauline P can be contacted via phone (978) 699-9051.

Contact Information

Primary practice address
16 Haverhill St Ste 1 Andover MA 01810-3000
Phone: (978) 699-9051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DL13614 Massachusetts
Dental Providers / General Practice 1223G0001X DN1858229 Massachusetts

Profile Details

NPI number 1104317494
LBN Legal business name Reilly-Lake, Pauline P
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2018
Last updated Jan 12th, 2024 - about last year

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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