Individual
DALLAS RYAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 SAPPHIRE CT, KNIGHTDALE, NC 27545-7257
(828) 242-8768
Mailing address
108 SAPPHIRE CT, KNIGHTDALE, NC 27545-7257
(828) 242-8768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101579
NC
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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