Dr Riley PC

NPI #1639792450 in Jackson, Wyoming

Provider Information

NPI Number
1639792450
Entity Type
Organization
Organization Name
Dr Riley PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
May 27, 2020
Last Updated
May 27, 2020

Practice Location

Address
1325 S HWY 89 APT 105
State
Wyoming
ZIP Code
83001-8293
Phone
(307) 201-5668

Authorized Official

Name
DR. RILEY JARED HICKS
Title
DENTAL SPECIALIST/ OWNER
Phone
(307) 201-5668

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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