Individual
NAKITA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-2920
(501) 664-1733
Mailing address
16000 RUSHMORE AVE APT 5206, LITTLE ROCK, AR 72223-7018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4482
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
06/29/2022
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