Individual
JESSICA RAU RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1971 N MAIN ST, SUMMERVILLE, SC 29486-7820
(843) 371-5886
Mailing address
744 GATE POST DR, MOUNT PLEASANT, SC 29464-4948
(480) 242-7712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8998
SC
Other
Enumeration date
07/27/2017
Last updated
11/09/2018
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