Individual
RYAN EDWARD MARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1325 BRADFORD VIEW DR STE 120, CARY, NC 27519-9232
(984) 465-1110
Mailing address
2010 RESERVE LN, AUGUSTA, GA 30907-6212
(704) 574-2151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9882
SC
1223G0001X
General Practice Dentistry
Primary
12703
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
02/22/2021
Last updated
04/10/2023
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