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Individual

DR. MICHAEL BRENT RILEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3709 OLD FOREST RD, LYNCHBURG, VA 24501-6902
(434) 385-7707
(434) 385-0738
Mailing address
3709 OLD FOREST RD, LYNCHBURG, VA 24501-6902
(434) 665-1430
(434) 385-0738

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413862
VA
122300000X
Dentist
DN013968
GA

Other

Enumeration date
09/02/2009
Last updated
05/20/2021
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