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Individual

DR. RYAN K STAEHLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

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
5993
LA
1223G0001X
General Practice Dentistry
Primary
8896
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5914860
NC
Enumeration date
06/23/2009
Last updated
12/03/2011
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