Most Relevant Information
Provider Data
| NPI Number: | 1003584996 |
| Provider Name: | RILEY D JOHNSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 12345191-9922 |
Most Important Dates
| Enumeration Date: | 09/03/2021 |
| Last Updated: | 11/01/2022 |
Provider Practice Location
2954 CARRINGTON RD
FORT BLISS
TX
79916
Practice Location Phone/Fax
| Phone: | 7206305324 |
| Fax: |
Provider Mailing Location
91-1019 KAIHOI ST
EWA BEACH
HI
967066222
Provider Mailing Phone/Fax
| Phone: | 7206305324 |
| Fax: |