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Search › Texas › 363LW0102X

Mary Riyanto, WHNP

NPI 1558783746 · on the registry since 2014 · sole proprietor

Practice

Address
6300 Harry Hines Blvd.
Suite 600
Dallas, TX 75235
Phone
(214) 266-0130
Organisation at this address
Supakit
Orthodontics For Infants And Children
Plastic And Craniofacial Surgery For Infants And Children, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas