Provider Demographics
NPI:1407918816
Name:RINGNALDA, ANDREW REN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:REN
Last Name:RINGNALDA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 NW 1ST WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-4560
Mailing Address - Country:US
Mailing Address - Phone:360-687-0909
Mailing Address - Fax:360-687-1502
Practice Address - Street 1:1908 NW 1ST WAY STE 105
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4560
Practice Address - Country:US
Practice Address - Phone:360-687-0909
Practice Address - Fax:360-687-1502
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE7487122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist