Individual
DR. JULIA DIANE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
79 MAPLE ST, EAST LONGMEADOW, MA 01028
(413) 525-6821
Mailing address
79 MAPLE ST, EAST LONGMEADOW, MA 01028-2734
(413) 525-6821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1856053
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042510910
DRS. SCANNELL & HOLLINGER, INC.
MA
Enumeration date
06/29/2011
Last updated
08/02/2018
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