Individual
DR. DWIGHT DAVID RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
523 TANNER ST, CARROLLTON, GA 30117-3318
(770) 832-2846
(770) 832-2852
Mailing address
523 TANNER ST, CARROLLTON, GA 30117-3318
(770) 832-2846
(770) 832-2852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012269
GA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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