Riley, Paul W
Riley, Paul W is an individual health care provider with primary practice located at 400 N Maclay Ave , San Fernando CA 91340. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Riley, Paul W can be contacted via phone (818) 361-4084.Contact Information
Primary practice address
400 N Maclay Ave
San Fernando CA 91340
Phone: (818) 361-4084
Fax: (818) 365-6112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 032896 | California |
| Dental Providers / General Practice | 1223G0001X | 028814 | California |
| Dental Providers / General Practice | 1223G0001X | 053606 | California |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 016290 | California |
Profile Details
| NPI number | 1013988971 |
|---|---|
| LBN Legal business name | Riley, Paul W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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