John Wade Riley DMD

NPI 1669524260 - Dentist - 1223G0001X

NPI Details
NPI 1669524260
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10 ROUNDTREE ST.
WILLISTON SC, 29853-0659, US
Phone (803) 266-7246
Fax (803) 266-3403
Business Location
PO BOX 659
WILLISTON SC, 29853-0659, US
Phone (803) 266-7246
Fax (803) 266-3403
Toxanomy
Taxonomy Code 1223G0001X
License State South Carolina
License Number Z28211
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According to our database, Dr. John Wade Riley DMD NPI is 1669524260, taxonomy code is 1223G0001X and license number is Z28211, license state is located at South Carolina. John Wade Riley DMD physically located at 10 Roundtree St., Williston SC, 29853-0659. NPI Number John Wade Riley DMD has the Individual type.

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1669524260 NPI number is provided on an as is basis without warranty of any kind. 1669524260 is maintained by the National Plan & Provider Enumeration System. The contents of John Wade Riley DMD are for informational purposes only.