| NPI | 1427019082 |
|---|---|
| Former Name | CHERYL ANETTE RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NC 6926) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: LA 4402) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-07-28 |