Provider Demographics
NPI:1689292286
Name:KUNDARIA, RINKLE HARDIK (DMD)
Entity Type:Individual
Prefix:DR
First Name:RINKLE
Middle Name:HARDIK
Last Name:KUNDARIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 S DIXIE HWY # C1
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-5886
Mailing Address - Country:US
Mailing Address - Phone:561-318-8762
Mailing Address - Fax:
Practice Address - Street 1:1702 S DIXIE HWY # C1
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-5886
Practice Address - Country:US
Practice Address - Phone:561-318-8762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18587381223G0001X
FLDN249991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice