Individual
DR. RYAN TODD STERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD5400
NM
390200000X
Student in an Organized Health Care Education/Training Program
17772396
PA
Other
Enumeration date
04/28/2016
Last updated
07/27/2021
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