| Riley Dental | |
|
295 Fm 156 S Ste 200 Haslet TX 76052-3012 | |
| (817) 439-8393 | |
| (817) 439-8348 |
| Full Name | Riley Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 295 Fm 156 S Ste 200, Haslet, Texas |
| Authorized Official Name and Position | Luke Riley (OWNER) |
| Authorized Official Contact | 8174398393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Dental 295 Fm 156 S Ste 200 Haslet TX 76052-3012 Ph: (817) 439-8393 | Riley Dental 295 Fm 156 S Ste 200 Haslet TX 76052-3012 Ph: (817) 439-8393 |
| NPI Number | 1649849464 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649849464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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