# RYAN STERK INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891365052
- **Authorized official:** DR. RYAN TODD STERK DDS (CEO)
- **Authorized official phone:** (505) 459-1245

## Contact information

- **Practice address:** 1513 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-5685
- **Practice address phone:** (505) 881-7373
- **Practice address fax:** (505) 881-5096
- **Mailing address:** 1513 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-5685
- **Mailing address phone:** (505) 881-7373
- **Mailing address fax:** (505) 881-5096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 06/30/2021