MR. Raynard Otis Riley, DDS

NPI #1811390230 in Summit, New Jersey

Provider Information

NPI Number: 1811390230
Entity Type: Individual
Name: MR. Raynard Otis Riley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 30, 2014
Last Updated: Sep 30, 2014

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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