Raynard Riley DDS

NPI #1043315302 in Summit, New Jersey

Provider Information

NPI Number: 1043315302
Entity Type: Organization
Organization Name: Raynard Riley DDS
Primary Specialty: Dentist
Enumeration Date: Sep 13, 2006
Last Updated: Sep 15, 2014

Practice Location

Address: 475 SPRINGFIELD AVE
Address 2: SUIT 210
City: Summit
State: New Jersey
ZIP Code: 07901
Phone: (908) 273-5656

Authorized Official

Name: MR. RAYNARD OTIS RILEY, DDS
Title: OWNER/PRESIDENT
Phone: (908) 273-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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