Individual
DR. EDWIN J RILEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 HAWTHORNE PLACE, SUITE 102, BOSTON, MA 02114
(617) 723-4032
(617) 723-4059
Mailing address
10 HAWTHORNE PLACE, SUITE 102, BOSTON, MA 02114
(617) 723-4032
(617) 723-4059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19965
MA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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