Individual
DR. LOGAN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
74 S MAIN ST, ROCHESTER, NH 03867-2708
(603) 332-5429
(603) 332-6641
Mailing address
74 S MAIN ST, ROCHESTER, NH 03867-2708
(603) 332-5429
(603) 332-6641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03795
NH
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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