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Individual
DR. VAN KEITH RILEY
Active
Individual
DR. VAN KEITH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D04687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D04687
DENTAL LICENSE
FL
Enumeration date
05/31/2005
Last updated
07/13/2026
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