| Rieser Family Dental, L.l.c. | |
|
1351 South Jefferson Suite 308 Washington MO 63090 | |
| (636) 239-7654 | |
| (636) 239-5598 |
| Full Name | Rieser Family Dental, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1351 South Jefferson, Washington, Missouri |
| Authorized Official Name and Position | Gary Raymond Rieser (MEMBER/PARTNER) |
| Authorized Official Contact | 6362397654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rieser Family Dental, L.l.c. 1351 South Jefferson Suite 308 Washington MO 63090 Ph: (636) 239-7654 | Rieser Family Dental, L.l.c. 1351 South Jefferson Suite 308 Washington MO 63090 Ph: (636) 239-7654 |
| NPI Number | 1689766123 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689766123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | LC0523694 (Missouri) | Primary |
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