NPI | 1528283561 |
---|---|
Doing Business As | RILEY DENTAL |
Entity Type | Organization |
Authorized Contact | THOMAS WARREN RILEY President 217-787-3727 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19-A-15732) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |