Provider Demographics
NPI:1326116849
Name:RYNDERS, PAUL DONALD (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DONALD
Last Name:RYNDERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1403 SILVER LAKE RD NW
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-6398
Mailing Address - Country:US
Mailing Address - Phone:651-635-0556
Mailing Address - Fax:651-633-1374
Practice Address - Street 1:1403 SILVER LAKE RD NW
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-6398
Practice Address - Country:US
Practice Address - Phone:651-635-0556
Practice Address - Fax:651-633-1374
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND103331223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry