Van Keith Riley DDS

NPI 1083617484 - Dentist - 1223D0001X

NPI Details
NPI 1083617484
Gender Male
Enumeration Date 05/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1454 MADISON AVE W
IMMOKALEE FL, 34142-2200, US
Phone (239) 658-3198
Fax (239) 658-3050
Business Location
330 HAWSER LN
NAPLES FL, 34102-5031, US
Phone (239) 262-5309
Fax (239) 262-1939
Toxanomy
Taxonomy Code 1223D0001X
License State Florida
License Number D04687
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According to our database, Dr. Van Keith Riley DDS NPI is 1083617484, taxonomy code is 1223D0001X and license number is D04687, license state is located at Florida. Van Keith Riley DDS physically located at 1454 Madison Ave W, Immokalee FL, 34142-2200. NPI Number Van Keith Riley DDS has the Individual type.

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1083617484 NPI number is provided on an as is basis without warranty of any kind. 1083617484 is maintained by the National Plan & Provider Enumeration System. The contents of Van Keith Riley DDS are for informational purposes only.