Gavrilov, Lilia
Gavrilov, Lilia is an sole proprietor health care provider with primary practice located at 4 Meeting Street , Chelmsford MA 01824. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Gavrilov, Lilia can be contacted via phone (401) 996-5597.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21493 | Massachusetts |
| Dental Providers / General Practice | 1223G0001X | DEN02650 | Rhode Island |
Profile Details
| NPI number | 1164599494 |
|---|---|
| LBN Legal business name | Gavrilov, Lilia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Oct 30th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164599494 | NPPES |
| Rhode Island | Other | DEN02650 | LICENSE |
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