Individual
DR. PAUL COLEMAN RILEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
636 W MCNEESE ST, LAKE CHARLES, LA 70605-5558
(601) 862-8586
Mailing address
636 W MCNEESE ST, LAKE CHARLES, LA 70605-5558
(601) 862-8586
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6681
LA
Other
Enumeration date
07/11/2016
Last updated
09/29/2023
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