NPI | 1255545539 |
---|---|
Professional Name | C. KENT RILEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D 5812 C) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN16057) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2011-03-18 |