Bridget Reilly
Clinic/Center, Dental in Auburn, NY. Organization (NPI-2).
NPI number1124459896
StatusActive
Last updated in NPPESDec 6, 2013
Details
- NPI
- 1124459896
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridget Reilly
- Organization subpart
- No
- Enumeration date
- Dec 6, 2013
- Last updated
- Dec 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 022944 | NY | Yes |
Practice location
210 South Hoopes AveAuburn, NY 13021
Phone 315-255-0100
Mailing address
210 South Hoopes AveAuburn, NY 13021
Phone 315-255-0100
Authorized official
Bridget M Reilly
Dental Hygienist
3152550100
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