Individual
DR. KELLY JO RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7725 NE HIGHWAY 99, VANCOUVER, WA 98665-8834
(360) 696-4487
Mailing address
22500NW67TH AVE, RIDGEFIELD, WA 98642-8534
(541) 282-3787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60305453
WA
Other
Enumeration date
08/09/2012
Last updated
11/23/2015
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