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Organization
W. STAN HARDESTY, DDS, PA
Active
Organization
W. STAN HARDESTY, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIS STANTON HARDESTY JR. DDS (PRESIDENT)
(919) 781-0018
Entity
Organization
Contact information
Practice address
3200 BLUE RIDGE RD STE 122, RALEIGH, NC 27612-8087
(919) 781-0018
Mailing address
3200 BLUE RIDGE RD STE 122, RALEIGH, NC 27612-8087
(919) 781-0018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6229
NC
Other
Enumeration date
05/03/2007
Last updated
06/23/2025
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