Individual
RILEY SPIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2711
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417960
VA
1223G0001X
General Practice Dentistry
0401417960
VA
Other
Enumeration date
06/15/2022
Last updated
11/30/2022
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