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Individual

DR. RYAN MICHAEL BUDDENDECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8815 CHRISTENBURY PKWY STE 40, CONCORD, NC 28027-0261
(704) 264-0253
Mailing address
13717 REESE BLVD W APT 306, HUNTERSVILLE, NC 28078-6087
(704) 796-9979

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12930
NC
390200000X
Student in an Organized Health Care Education/Training Program
NC

Other

Enumeration date
05/19/2022
Last updated
08/01/2022
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