Organization
JEFFERY RISO DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RISO (OWNER)
(985) 590-6287
Entity
Organization
Contact information
Practice address
70383 HIGHWAY 21 STE 200, COVINGTON, LA 70433-7150
(985) 590-6287
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/20/2023
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