Individual
JARED RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 1ST AVE, OPELIKA, AL 36801-5403
(334) 796-7786
Mailing address
1945 1ST AVE, OPELIKA, AL 36801-5403
(334) 796-7786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6364
AL
Other
Enumeration date
06/27/2016
Last updated
04/07/2021
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