Individual
KRISTEN DANNIELLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
83 W MARCH LN, STOCKTON, CA 95207-5730
(209) 636-5555
Mailing address
1632 CAMPHOR WAY, LODI, CA 95242-4422
(209) 992-0398
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23044
CA
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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