Individual
KATHRYN PARKER RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6316 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212-6953
(980) 265-3180
Mailing address
6316 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212-6953
(980) 265-3180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12857
NC
Other
Enumeration date
06/02/2021
Last updated
04/17/2023
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