Individual
DR. DUSTIN RYAN DURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2945 NEW BERN AVE., WIRCK & ASSOCIATES, RALEIGH, NC 27610
(919) 834-4932
(919) 834-7332
Mailing address
1410 SYCAMORE ST, RALEIGH, NC 27604-1325
(919) 832-8931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902KA
—
NC
Enumeration date
07/17/2006
Last updated
07/09/2007
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