Individual
DR. RILEY R SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2090 GODBY RD, COLLEGE PARK, GA 30349-5248
(770) 991-0212
(770) 997-4854
Mailing address
2090 GODBY RD, COLLEGE PARK, GA 30349-5248
(770) 991-0212
(770) 997-4854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009207
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN009207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00228632A1
—
GA
Enumeration date
01/26/2007
Last updated
02/01/2013
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