Individual
ALEXANDRA REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
91 MAIN ST STE 121, WARREN, RI 02885-4437
(401) 289-0071
Mailing address
91 MAIN ST STE 121, WARREN, RI 02885-4437
(012) 890-0714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
03228
RI
1223G0001X
General Practice Dentistry
Primary
DENO3228
RI
Other
Enumeration date
08/27/2014
Last updated
05/14/2024
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