Individual
DR. LILIA GAVRILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MEETING STREET, CHELMSFORD, MA 01824
(401) 996-5597
Mailing address
4 MEETING STREET, CHELMSFORD, MA 01824
(401) 996-5597
(617) 241-8168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21493
MA
1223G0001X
General Practice Dentistry
DEN02650
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN02650
LICENSE
RI
Enumeration date
11/30/2006
Last updated
10/30/2020
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