Individual
MARILIA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6320 CAPITAL BLVD STE 121, RALEIGH, NC 27616-3017
(919) 981-7363
(919) 981-0679
Mailing address
6320 CAPITAL BLVD STE 121, RALEIGH, NC 27616-3017
(919) 981-7363
(919) 981-0679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
103539
CA
1223G0001X
General Practice Dentistry
Primary
12489
NC
Other
Enumeration date
04/03/2019
Last updated
12/07/2022
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