Organization
RIESER FAMILY DENTAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RAYMOND RIESER D.D.S. (MEMBER/PARTNER)
(636) 239-7654
Entity
Organization
Contact information
Practice address
1351 SOUTH JEFFERSON, SUITE 308, WASHINGTON, MO 63090
(636) 239-7654
(636) 239-5598
Mailing address
1351 SOUTH JEFFERSON, SUITE 308, WASHINGTON, MO 63090
(636) 239-7654
(636) 239-5598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LC0523694
MO
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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