Individual
PHILLIP RIESSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6262 S PARKER RD, STE 300, CENTENNIAL, CO 80016-1257
(303) 690-4500
Mailing address
6262 S PARKER RD, SUITE 300, CENTENNIAL, CO 80016-1257
(303) 690-4500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100976
CO
Other
Enumeration date
04/24/2007
Last updated
02/25/2015
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