Provider Demographics
NPI:1003028184
Name:RYNDERS, ARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARIE
Middle Name:
Last Name:RYNDERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17179
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-7179
Mailing Address - Country:US
Mailing Address - Phone:949-567-3176
Mailing Address - Fax:949-576-3185
Practice Address - Street 1:1414 7TH ST
Practice Address - Street 2:ST
Practice Address - City:WASCO
Practice Address - State:CA
Practice Address - Zip Code:93280-1735
Practice Address - Country:US
Practice Address - Phone:661-758-7955
Practice Address - Fax:661-758-0197
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice