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Individual

DR. CONNIE C RIESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1351 JEFFERSON ST, STE. 308, WASHINGTON, MO 63090-6449
(636) 239-7654
Mailing address
1351 JEFFERSON ST, STE. 308, WASHINGTON, MO 63090-6449
(636) 239-7654

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15902
MO

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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