Individual
ANDREW RAYMOND RIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1351 JEFFERSON ST, SUITE 308, WASHINGTON, MO 63090-6449
(636) 239-7654
(636) 239-5598
Mailing address
4756 AUBURN TRACE DR, SAINT LOUIS, MO 63128-2851
(314) 200-8216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2003015190
MO
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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