Organization
RYAN K. STAEHLING, DDS, PLLC
Active
Other names
Southern Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN KEITH STAEHLING DDS (MEMBER, MANAGER, AND ORGANIZER)
(225) 802-1345
Entity
Organization
Contact information
Practice address
6500 CREEDMOOR RD, SUITE 204, RALEIGH, NC 27613-3697
(919) 706-0565
(919) 706-0564
Mailing address
6500 CREEDMOOR RD, SUITE 204, RALEIGH, NC 27613-3697
(919) 706-0565
(919) 706-0564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8896
NC
Other
Enumeration date
08/22/2011
Last updated
12/03/2011
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