Individual
CHANTELL RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4049 NIAGARA ST, WAYNE, MI 48184-1961
(734) 657-2686
Mailing address
4049 NIAGARA ST, WAYNE, MI 48184-1961
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
MI
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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