Individual
DANA SHORT RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10509 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1502
(865) 693-5030
Mailing address
10509 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1502
(865) 693-5030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10965
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
01/23/2023
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